Individual Information

SAMANTHA MICHELL PHILLIPS

SCURRY, TX 75158-2875

Active

samantha.phillips@comployhr.com

03/16/2022

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3779219	03/16/2022	Active	03/16/2022	03/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	03/16/2022	Active	03/16/2022
Health	03/29/2022	Active	03/29/2022
Life	03/29/2022	Active	03/29/2022
Personal Lines	03/16/2022	Active	03/16/2022
Property	03/16/2022	Active	03/16/2022

Company Name	Appointment Type	Status	Active Date
153593
AMERICAN LIBERTY INSURANCE COMPANY	Casualty	Active	05/23/2022
1601
Company Name	Appointment Type	Status	Active Date
BENCHMARK INSURANCE COMPANY	Casualty	Active	05/23/2022
288
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN INSURANCE COMPANY	Health	Active	04/01/2022
469
Company Name	Appointment Type	Status	Active Date
HARTFORD UNDERWRITERS INSURANCE COMPANY	Casualty	Active	06/12/2022
	Property	Active	06/12/2022
919
Company Name	Appointment Type	Status	Active Date
NATIONAL SPECIALTY INSURANCE COMPANY	Casualty	Active	02/02/2023
	Property	Active	02/02/2023
459
Company Name	Appointment Type	Status	Active Date
NATIONWIDE LIFE INSURANCE COMPANY	Health	Active	05/04/2023
	Life	Active	05/04/2023
149264
Company Name	Appointment Type	Status	Active Date
NEXT INSURANCE US COMPANY	Casualty	Active	02/01/2023
	Property	Active	02/01/2023
1295
Company Name	Appointment Type	Status	Active Date
PHILADELPHIA INDEMNITY INSURANCE COMPANY	Casualty	Active	04/06/2022
	Health	Active	04/06/2022
	Personal Lines	Active	04/06/2022
	Property	Active	04/06/2022
1518
Company Name	Appointment Type	Status	Active Date
STATE NATIONAL INSURANCE COMPANY INC	Casualty	Active	02/02/2023
	Property	Active	02/02/2023

row(s) 1 - 17 of 17

Organization	Association Type	Type	Beg dte	End dte
VERTICAL INSURANCE GROUP, LLC	Designated Resp Lic Prdcr	Agency	03/30/2022	-

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