From BOL for 2008
SELECT SERVERPROPERTY ('FilestreamShareName')
FilestreamConfiguredLevel shows the currently configured level of FILESTREAM access, and FilestreamEffectiveLevel shows the effective value of FILESTREAM access. These values might be different if either an instance restart or a computer restart is pending.
When FilestreamEffectiveLevel differs from FilestreamConfiguredLevel and you run sp_filestream_configure without parameters, the results contain an informational message that describes why the values are different.
Effective / Confirured - microsoft's explanation still seems a little vague. But the QOD was clear enough and a good question.
If everything seems to be going well, you have obviously overlooked something.
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