Individual Information

SAM HANTHALEY

FOREST GROVE, OR 97116-3069

Active

sam.hanthaley@ngic.com

10/21/2014

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	992587	10/21/2014	Active	10/21/2014	10/31/2026
Non-Res. Motor Club Agt/Agy	3906681	06/07/2023	Active	06/07/2023	06/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/21/2014	Active	10/21/2014
Health	03/02/2023	Active	03/02/2023
Life	03/02/2023	Active	03/02/2023
Motor Club	06/07/2023	Active	06/07/2023
Property	10/21/2014	Active	10/21/2014

Company Name	Appointment Type	Status	Active Date
34
AMERICAN ECONOMY INSURANCE COMPANY	Casualty	Active	01/09/2023
	Property	Active	01/09/2023
113428
Company Name	Appointment Type	Status	Active Date
AMERICAN STRATEGIC INSURANCE CORP	Casualty	Active	05/31/2020
	Property	Active	05/31/2020
774
Company Name	Appointment Type	Status	Active Date
CENTURY-NATIONAL INSURANCE COMPANY	Casualty	Active	09/16/2016
	Property	Active	09/16/2016
1180
Company Name	Appointment Type	Status	Active Date
DIRECT GENERAL LIFE INSURANCE COMPANY	Life	Active	09/28/2023
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	03/19/2016
	Property	Active	03/19/2016
1058
Company Name	Appointment Type	Status	Active Date
MIC GENERAL INSURANCE CORPORATION	Casualty	Active	10/11/2023
	Property	Active	10/11/2023
1602
Company Name	Appointment Type	Status	Active Date
NATIONAL GENERAL ASSURANCE COMPANY	Casualty	Active	10/04/2023
	Property	Active	10/04/2023
441
Company Name	Appointment Type	Status	Active Date
NATIONAL GENERAL INSURANCE COMPANY	Casualty	Active	10/04/2023
	Property	Active	10/04/2023
1302
Company Name	Appointment Type	Status	Active Date
PROGRESSIVE NORTHERN INSURANCE COMPANY	Casualty	Active	11/01/2019
	Property	Active	11/01/2019
1261
Company Name	Appointment Type	Status	Active Date
UNITED FINANCIAL CASUALTY COMPANY	Casualty	Active	11/01/2019
	Property	Active	11/01/2019

row(s) 1 - 19 of 19