DEPARTMENT OF INSURANCE

Affiliations

Name	Sands, Jeff J	DOIID	353573	NAIC NPN	1020842

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/30/2024		11/30/2026
Active	Non Resident	Agent	Property	9/30/2024		11/30/2026
Active	Non Resident	Agent	Life	10/22/2024		11/30/2026
Inactive	Non Resident	Agent	General Lines	8/19/1999	8/15/2000
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	8/24/2006	10/6/2014
Inactive	21st Century North America Insurance Company	300884	Agent - General Lines	8/19/1999	8/15/2000
Inactive	21st Century North America Insurance Company	300884	Agent - Property	8/24/2006	10/6/2014
Active	AAA Life Insurance Company	300287	Agent - Life	11/14/2024
Inactive	American Home Assurance Company	300246	Agent - Casualty	8/24/2006	9/16/2009
Inactive	American Home Assurance Company	300246	Agent - General Lines	8/19/1999	8/15/2000
Inactive	American Home Assurance Company	300246	Agent - Property	8/24/2006	9/16/2009
Active	American Strategic Insurance Corp	883540	Agent - Casualty	10/8/2024
Active	American Strategic Insurance Corp	883540	Agent - Property	10/8/2024
Active	Bristol West Insurance Company	301655	Agent - Casualty	10/10/2024
Active	Bristol West Insurance Company	301655	Agent - Property	10/10/2024
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	11/1/2024
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	11/1/2024
Active	CSAA General Insurance Company	606675	Agent - Casualty	11/1/2024
Active	CSAA General Insurance Company	606675	Agent - Property	11/1/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/10/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/10/2024
Inactive	Homesite Insurance Company	301139	Agent - Casualty	5/10/2010	10/6/2014
Inactive	Homesite Insurance Company	301139	Agent - Property	5/10/2010	10/6/2014
Inactive	RLI Insurance Company	301217	Agent - Casualty	5/4/2010	2/27/2014
Inactive	RLI Insurance Company	301217	Agent - Property	5/4/2010	2/27/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aca Club Insurance Agency, Inc.	1033550	Agent - Property	10/8/2024
Active	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty	10/8/2024