DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sand, Sue N	DOIID	1030703	NAIC NPN	8452176

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	10/22/2019	9/30/2021
Inactive	Non Resident	Agent	Life	2/28/2019	9/30/2023
Inactive	Non Resident	Agent	Health	2/28/2019	9/30/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Tristar Benefit Administrators Inc	751910	Administrator - Not Applicable	10/30/2019	9/30/2021