Search → SAM HANTHALEY

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
      SAM HANTHALEY
PRODUCER NON-RESIDENT
License Number:
          PRN240822
        Status:
          First Licensure:
          10/22/2014
        Cancel Date:
          None
        Mailing:
          FOREST GROVE, OR 97116
         Phone:
          +1 (314) 493-8000
         Email:
          sam.hanthaley@ngic.com
        | License Type | Start Date | End Date | 
|---|---|---|
| PRODUCER NON-RESIDENT | 10/22/2014 | 
| Name | Issue Date | License Number | Expiration Date | Cancel Date | 
|---|---|---|---|---|
| AFFINITY BROKERAGE LLC | 10/22/2014 | AGN55398 | ||
| CWI LLC | 01/07/2015 | AGN173565 | 04/23/2024 | |
| NATIONAL GENERAL INSURANCE MARKETING INC | 10/23/2014 | AGN43510 | 
| Name | Issue Date | License Number | Expiration Date | Cancel Date | 
|---|---|---|---|---|
| DAIRYLAND INSURANCE COMPANY | 06/13/2019 | PCF721 | ||
| FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN | 03/19/2016 | PCF445 | ||
| INTEGON NATIONAL INSURANCE COMPANY | 01/21/2016 | PCF310 | ||
| NATIONAL GENERAL INSURANCE COMPANY | 10/23/2014 | PCF647 | ||
| NATIONWIDE ASSURANCE COMPANY | 07/14/2015 | PCF38952 | 02/24/2023 | |
| NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY | 07/14/2015 | PCF151089 | 02/24/2023 | |
| PROGRESSIVE NORTHERN INSURANCE COMPANY | 11/09/2014 | PCF51006 | ||
| PROGRESSIVE NORTHWESTERN INSURANCE COMPANY | 11/09/2014 | PCF27738 | 
| Description | Issue Date | Termination Date | Status | 
|---|---|---|---|
| CASUALTY | 10/22/2014 | Active | |
| PROPERTY | 10/22/2014 | Active | 
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
          National Producer Number (NPN):
          17400116
        | Address | Type | 
|---|---|
| 1100 NW COMPTON WAY FL 2 BEAVERTON, OR 97006-2291 | Office | 
An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.
		Date: 10/31/2025 08:23:05 AM
	
					 
				