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	Life	8/2/1994		10/31/2025
Active	Non Resident	Agent	Health	8/2/1994		10/31/2025
Inactive	Non Resident	Agent	Health Maintenance Organization	10/20/1994	3/1/2001
Active	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025
Life & Health Consultant	08/15/2025	10/31/2025

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