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	Property	9/30/2024		11/30/2026
Active	Non Resident	Agent	Casualty	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2026	11/30/2026

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
Inactive	AAA Life Insurance Company	300287	Agent - Life	11/14/2024	5/20/2025
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
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	10/8/2024	5/21/2025
Inactive	American Strategic Insurance Corp	883540	Agent - Property	10/8/2024	5/21/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/10/2024	6/27/2025
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/10/2024	6/27/2025
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	11/1/2024	5/22/2025
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	11/1/2024	5/22/2025
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	11/1/2024	5/22/2025
Inactive	CSAA General Insurance Company	606675	Agent - Property	11/1/2024	5/22/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/10/2024	6/27/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/10/2024	6/27/2025
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
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Property	10/8/2024	6/27/2025
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty	10/8/2024	6/27/2025