DEPARTMENT OF INSURANCE

Affiliations

Name	Sandman, Gene Thomas	DOIID	380158	NAIC NPN	1685368

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	3/25/1994	7/1/2009
Inactive	Resident	Agent	Health	11/2/1994	7/1/2009
* 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	AF&L Insurance Company	301582	Agent - Health	3/14/2003	12/1/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	6/15/2006	10/20/2008
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/15/2006	10/20/2008
Inactive	American Pioneer Life Insurance Company	301782	Agent - Health	7/18/1996	3/31/1997
Inactive	American Pioneer Life Insurance Company	301782	Agent - Life	7/18/1996	3/31/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/1/1996	6/7/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/1/1996	6/7/2000
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	9/27/1994	4/15/1996
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	9/27/1994	4/15/1996
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	6/4/1996	10/12/1998
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	6/4/1996	10/12/1998
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	12/19/1996	12/23/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	12/19/1996	12/23/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Health	5/13/1999	8/3/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Life	5/13/1999	8/3/2006
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	7/1/2002	8/18/2006
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	7/1/2002	8/18/2006
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	4/25/1996	3/31/1997
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	4/25/1996	3/31/1997
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/15/2003	3/16/2007
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/15/2003	3/16/2007
Inactive	MedAmerica Insurance Company	301568	Agent - Health	1/10/2003	5/17/2005
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/25/2003	11/2/2005
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Health	6/27/1996	3/31/1999
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Life	6/27/1996	3/31/1999
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	5/10/1996	3/31/1997
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	5/10/1996	3/31/1997
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	3/25/1994	5/2/2003
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	3/25/1994	5/2/2003
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	9/8/1994	4/17/1998
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	9/8/1994	4/17/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	6/4/1996	2/10/2004
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	6/4/1996	2/10/2004
Inactive	Cornerstone Senior Services LLC	399590	Agent - Life	4/22/1996	10/4/1996
Inactive	Cornerstone Senior Services LLC	399590	Agent - Health	4/22/1996	10/4/1996
Inactive	Stratos Group Ltd Inc.	400746	Agent - Life	3/3/2003	1/22/2004
Inactive	Stratos Group Ltd Inc.	400746	Agent - Health	3/3/2003	1/22/2004