DEPARTMENT OF INSURANCE

Affiliations

Name	Halstead, Sandra Bohn	DOIID	320557	NAIC NPN	1482652

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/2/1994		10/31/2027
Active	Non Resident	Agent	Life	8/2/1994		10/31/2027
Inactive	Non Resident	Agent	Health Maintenance Organization	10/20/1994	3/1/2001
Pending Replacement	Non Resident	Life & Health Consultant	Not Applicable	1/18/2013		10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	3/1/2001	10/23/2003
Inactive	Aetna Health Inc.	300694	Agent - Health Maintenance Organization	10/20/1994	3/1/2001
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/16/2018
Active	Aetna Life Insurance Company	301140	Agent - Health	7/16/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	7/16/2018
Inactive	All Savers Insurance Company	301940	Agent - Health	4/10/2012	11/3/2016
Active	American United Life Insurance Company	300498	Agent - Health	5/1/2014
Active	American United Life Insurance Company	300498	Agent - Life	5/1/2014
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	2/17/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/28/2012	3/28/2018
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	7/16/2018	6/15/2022
Active	Dental Concern Inc. (The)	301641	Agent - Health	1/29/2020
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	6/5/2014	12/15/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	6/5/2014	12/15/2022
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/17/2020
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/17/2020
Active	Humana Health Plan, Inc.	300142	Agent - Health	2/15/2014
Active	Humana Insurance Company	301104	Agent - Health	2/17/2020
Inactive	Humana Insurance Company	301104	Agent - Life	12/11/2014	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/28/2012	12/19/2019
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	1/29/2020
Active	Humana Medical Plan, Inc.	801568	Agent - Health	2/17/2020
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/17/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/12/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/12/2014	10/22/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	5/22/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/19/2022	11/30/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/19/2022	11/30/2023
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health	3/1/2001	5/21/2003
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health Maintenance Organization	10/28/1999	3/1/2001
Inactive	Prudential Insurance Company of America	300784	Agent - Health	10/28/1999	11/23/2010
Inactive	Prudential Insurance Company of America	300784	Agent - Life	10/28/1999	11/23/2010
Inactive	Starmount Life Insurance Company	628031	Agent - Health	7/19/2022	11/30/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/19/2022	11/30/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/19/2022	11/30/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/20/2011	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/20/2011	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/20/2011	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/20/2011	12/1/2016
Inactive	Unum Insurance Company	301499	Agent - Health	7/19/2022	11/30/2023
Inactive	Unum Insurance Company	301499	Agent - Life	7/19/2022	11/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners NL, LLC	762387	Agent - Life	5/24/2012	1/10/2024
Inactive	Assuredpartners NL, LLC	762387	Agent - Health	5/24/2012	1/10/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013	2/10/2025