Individual Information

ALLAN KWOK-KONG SAM

SAN FRANCISCO,, CA 94116-0348

Active

pauline@geagency.com

08/13/2013

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	895863	08/13/2013	Active	08/13/2013	08/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	08/13/2013	Active	08/13/2013
Health	08/13/2013	Active	08/13/2013
Life	08/13/2013	Active	08/13/2013
Property	08/13/2013	Active	08/13/2013

Company Name	Appointment Type	Status	Active Date
130977
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY	Casualty	Active	04/24/2018
1545
Company Name	Appointment Type	Status	Active Date
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY	Casualty	Active	04/24/2018
	Property	Active	04/24/2018
110894
Company Name	Appointment Type	Status	Active Date
CITIZENS INSURANCE COMPANY OF AMERICA	Casualty	Active	04/24/2018
	Property	Active	04/24/2018
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	01/25/2022
	Property	Active	01/25/2022
115655
Company Name	Appointment Type	Status	Active Date
HANOVER AMERICAN INSURANCE COMPANY, THE	Casualty	Active	04/24/2018
	Property	Active	04/24/2018
304
Company Name	Appointment Type	Status	Active Date
HANOVER INSURANCE COMPANY, THE	Casualty	Active	04/24/2018
	Property	Active	04/24/2018
110699
Company Name	Appointment Type	Status	Active Date
MASSACHUSETTS BAY INSURANCE COMPANY	Casualty	Active	04/24/2018
	Property	Active	04/24/2018
11537
Company Name	Appointment Type	Status	Active Date
NEVADA CAPITAL INSURANCE COMPANY	Casualty	Active	10/10/2017
	Property	Active	10/10/2017

row(s) 1 - 15 of 15

Organization	Association Type	Type	Beg dte	End dte
GREAT EASTERN INS SERVICES INC	Designated Resp Lic Prdcr	Agency	09/15/2020	-

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