DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Skupinski, Sandra Renee	DOIID	352816	NAIC NPN	7192667

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	2/2/1994	7/1/1998
Inactive	Resident	Agent	Life	1/29/1996	7/1/1998
Inactive	Resident	Agent	Health Maintenance Organization	4/25/1997	7/1/1998
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	7/26/1995	7/1/1998
Inactive	Columbus Life Insurance Company	301227	Agent - Life	1/29/1996	10/24/1997
Inactive	Conseco Health Insurance Company	301725	Agent - Health	2/2/1994	3/31/1997
Inactive	Continental Casualty Company	301019	Agent - Health	7/25/1995	7/1/1998
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/25/1997	7/1/1998
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	11/14/1996	7/1/1998
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	8/5/1996	3/31/1997
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	8/5/1996	3/31/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	3/26/1997	7/1/1998
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	3/26/1997	7/1/1998
Inactive	Protective Life Insurance Company	300638	Agent - Health	10/9/1995	7/1/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Insurance Group Inc.	401305	Agent - Life	6/7/1996	7/1/1998
Inactive	First Insurance Group Inc.	401305	Agent - Health	6/7/1996	7/1/1998