DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sandifer, Tanya Renee Holder	DOIID	367777	NAIC NPN	7199235

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	2/18/2004	12/31/2004
Active	Resident	Agent	Life	8/20/2010		10/31/2024
Active	Resident	Agent	Health	8/20/2010		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/8/2017
Active	Aetna Life Insurance Company	301140	Agent - Health	5/8/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	5/8/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/1/2010	5/17/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/1/2010	5/17/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mercer Health & Benefits LLC	607080	Agent - Life	10/1/2010
Active	Mercer Health & Benefits LLC	607080	Agent - Health	10/1/2010
Inactive	Midwestern Insurance Alliance Inc.	401257	Adjuster - Independent	1/7/1997	9/26/2001