DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sandoval, Carisa	DOIID	1084399	NAIC NPN	19265809

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/21/2020		10/31/2026
Active	Non Resident	Agent	Property	5/21/2020		10/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Safe Auto Insurance Company	300419	Agent - Casualty	5/26/2020	6/19/2020
Inactive	Safe Auto Insurance Company	300419	Agent - Property	5/26/2020	6/19/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Safe Auto Group Agency Inc	557065	Agent - Casualty	5/27/2020	6/19/2020
Inactive	Safe Auto Group Agency Inc	557065	Agent - Property	5/27/2020	6/19/2020