DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hines, Sandra K	DOIID	1381415	NAIC NPN	16629415

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/22/2025		4/30/2026
Active	Non Resident	Agent	Property	1/22/2025		4/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/3/2025		4/30/2026
* 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	02/15/2026	04/30/2026
Surplus Lines Broker	02/15/2026	04/30/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Tis Ins Services Inc	523150	Agent - Casualty
Denied	Tis Ins Services Inc	523150	Agent - Property
Active	Tis Ins Services Inc	523150	Surplus Lines Broker - Not Applicable	3/3/2025