DEPARTMENT OF INSURANCE

Affiliations

Name	Wells, Sandra Rae	DOIID	353870	NAIC NPN	7193172

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	6/6/1991	8/15/2000
Inactive	Resident	Agent	Life	6/6/1991	12/17/2010
Inactive	Resident	Agent	Health	6/6/1991	12/17/2010
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2012
Inactive	Resident	Agent	Assessment Chapter 299	9/29/1998	12/1/2000
Inactive	Resident	Agent	Property	8/15/2000	7/1/2012
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	7/12/2002	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/12/2002	11/21/2007
Denied	Allstate Indemnity Company	300778	Agent - Casualty
Denied	Allstate Indemnity Company	300778	Agent - Property
Denied	Allstate Insurance Company	300773	Agent - Casualty
Denied	Allstate Insurance Company	300773	Agent - Property
Denied	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty
Denied	Allstate Property and Casualty Insurance Company	300593	Agent - Property
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/14/1995	10/15/1998
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/14/1995	10/15/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/16/1996	12/17/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/16/1996	12/17/2010
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008	12/17/2010
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/6/2008	12/17/2010
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	8/29/2005	11/17/2010
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	8/29/2005	11/17/2010
Inactive	Everlake Life Insurance Company	300873	Agent - Health	9/10/2008	12/17/2010
Inactive	Everlake Life Insurance Company	300873	Agent - Life	9/10/2008	12/17/2010
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	11/10/2005	10/14/2010
Inactive	Farmers Insurance Exchange	300336	Agent - Property	11/10/2005	10/14/2010
Inactive	First Mutual Insurance Company	301258	Agent - Assessment Chapter 299	9/29/1998	12/1/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/15/2006	10/14/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/15/2006	10/14/2010
Inactive	Grange Insurance Company	300234	Agent - Casualty	8/15/2000	6/4/2002
Inactive	Grange Insurance Company	300234	Agent - General Lines	6/6/1991	8/15/2000
Inactive	Grange Insurance Company	300234	Agent - Property	8/15/2000	6/4/2002
Inactive	Grange Life Insurance Company	300128	Agent - Health	6/6/1991	6/3/2002
Inactive	Grange Life Insurance Company	300128	Agent - Life	6/6/1991	6/3/2002
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	4/12/2006	12/17/2010
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	4/12/2006	12/17/2010
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	4/12/2006	12/17/2010
Inactive	GuideOne Insurance Company	301794	Agent - Property	4/12/2006	12/17/2010
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	4/12/2006	12/17/2010
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	4/12/2006	12/17/2010
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/23/2007	7/1/2012
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/23/2007	7/1/2012
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	7/3/2000	8/8/2008
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	7/3/2000	8/8/2008
Inactive	Omni Insurance Company	301545	Agent - General Lines	6/6/1991	3/31/2000
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	8/21/1995	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	8/21/1995	10/23/2002
Denied	Progressive Casualty Insurance Company	300696	Agent - Casualty
Denied	Progressive Casualty Insurance Company	300696	Agent - Property
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	10/14/2010
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	10/14/2010
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	12/17/2010
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	6/26/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	12/17/2010
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	10/26/2001
Inactive	Western Surety Company	300283	Agent - General Lines	6/3/1996	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/5/2000	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/5/2000	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/31/2008	12/17/2010
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/31/2008	12/17/2010
Inactive	Thoroughbred Agency, Inc.	558022	Agent - Property	4/10/2006	11/9/2009
Inactive	Thoroughbred Agency, Inc.	558022	Agent - Casualty	4/10/2006	11/9/2009
Inactive	Wells & Middleton Insurance Inc.	398601	Agent - General Lines	12/31/1991	8/15/2000
Inactive	Wells & Middleton Insurance Inc.	398601	Agent - Life	12/31/1991	12/10/2010
Inactive	Wells & Middleton Insurance Inc.	398601	Agent - Health	12/31/1991	12/10/2010
Inactive	Wells & Middleton Insurance Inc.	398601	Agent - Property	8/15/2000	12/10/2010
Inactive	Wells & Middleton Insurance Inc.	398601	Agent - Casualty	8/15/2000	12/10/2010