DEPARTMENT OF INSURANCE
Affiliations
NameUrbanowski, Sandy ADOIID327835NAIC NPN7174895
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLimited Line Credit12/17/20047/31/2013 
InactiveResidentAgentCredit Life & Health9/27/19998/7/2000 
InactiveResidentAgentVariable Life and Variable Annuities1/12/20048/1/2013 
InactiveResidentAgentLife1/12/20048/1/2013 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveEmpower Annuity Insurance Company of America300259Agent - Life3/26/20019/30/2003
InactiveIllinois Mutual Life Insurance Company301479Agent - Life10/1/201011/12/2012
InactiveInvestors Heritage Life Insurance Company300363Agent - Limited Line Credit12/17/20047/31/2013
InactiveKentucky Home Life Insurance Company300477Agent - Life12/17/20078/1/2013
InactiveKentucky Home Life Insurance Company300477Agent - Limited Line Credit1/5/20052/25/2011
InactiveNationwide Life Insurance Company300495Agent - Life6/19/20039/30/2003
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities1/30/20048/18/2004
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life6/19/20039/30/2003
InactivePacific Life Insurance Company301848Agent - Life1/26/200410/7/2004
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities1/26/200410/7/2004
InactiveSouthern Financial Life Insurance Company300664Agent - Credit Life & Health9/27/19998/7/2000
InactiveSouthern Financial Life Insurance Company300664Agent - Limited Line Credit8/7/20009/30/2003
InactiveTalcott Resolution Life Insurance Company301759Agent - Life1/30/200410/1/2007
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities1/30/200410/1/2007
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life1/30/200410/1/2007
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities1/30/200410/1/2007
InactiveWestern National Life Insurance Company300461Agent - Life1/23/20048/20/2004
InactiveWestern-Southern Life Assurance Company301590Agent - Life1/22/20048/16/2004
InactiveWestern-Southern Life Assurance Company301590Agent - Variable Life and Variable Annuities1/22/20048/16/2004
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFarmers Bank & Trust Company Of Marion398754Agent - Limited Line Credit6/15/20117/31/2013
InactiveFarmers Bank & Trust Company Of Marion398754Agent - Life9/8/20118/1/2013
InactiveFifth Third Insurance Agency Inc399341Agent - Life4/27/20048/18/2004
InactiveFifth Third Insurance Agency Inc399341Agent - Variable Life and Variable Annuities4/27/20042/27/2007

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