DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gaither, Samantha	DOIID	975164	NAIC NPN	18591458

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Denied	Resident	Agent	Life
Inactive	Resident	Agent	Casualty	11/14/2017	9/30/2021
Inactive	Resident	Agent	Property	12/7/2017	9/30/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	8/2/2019	1/29/2020
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	8/2/2019	1/29/2020
Inactive	Owners Insurance Company	300796	Agent - Casualty	8/2/2019	1/29/2020
Inactive	Owners Insurance Company	300796	Agent - Property	8/2/2019	1/29/2020
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	12/21/2017	6/11/2019
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	12/21/2017	6/11/2019
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	12/21/2017	6/11/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Shepherd Insurance, LLC	774397	Agent - Casualty	8/2/2019	1/29/2020
Inactive	Shepherd Insurance, LLC	774397	Agent - Property	8/2/2019	1/29/2020