DEPARTMENT OF INSURANCE

Affiliations

Name	Baker, Sandra Lee	DOIID	525423	NAIC NPN	7217493

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	7/13/2001	12/21/2015
Inactive	Resident	Agent	Casualty	6/8/2001	12/21/2015
Inactive	Resident	Agent	Health	7/13/2001	12/21/2015
Inactive	Resident	Agent	Property	6/6/2001	12/21/2015
* 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	Augustar Life Assurance Corporation	301113	Agent - Life	11/16/2009	7/25/2012
Inactive	Augustar Life Insurance Company	301816	Agent - Life	11/16/2009	7/25/2012
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	4/20/2011	2/15/2013
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	4/20/2011	2/15/2013
Inactive	Combined Insurance Company of America	301472	Agent - Health	5/6/2013	8/30/2013
Inactive	Combined Insurance Company of America	301472	Agent - Life	5/6/2013	8/30/2013
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	4/22/2009	2/19/2013
Inactive	Encompass Indemnity Company	546376	Agent - Property	4/22/2009	2/19/2013
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	4/22/2009	2/19/2013
Inactive	Encompass Insurance Company of America	556578	Agent - Property	4/22/2009	2/19/2013
Inactive	Encova Life Insurance Company	301818	Agent - Life	10/24/2008	2/6/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/15/2010	3/21/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/15/2010	3/21/2013
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	4/1/2008	1/30/2013
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	4/1/2008	1/30/2013
Inactive	Grange Insurance Company	300234	Agent - Casualty	4/1/2008	1/30/2013
Inactive	Grange Insurance Company	300234	Agent - Property	4/1/2008	1/30/2013
Inactive	Grange Life Insurance Company	300128	Agent - Health	4/10/2008	2/11/2013
Inactive	Grange Life Insurance Company	300128	Agent - Life	4/10/2008	2/11/2013
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	4/1/2008	1/30/2013
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	4/1/2008	1/30/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/24/2006	8/20/2007
Inactive	Humana Insurance Company	301104	Agent - Health	2/24/2006	8/20/2007
Inactive	Humana Insurance Company	301104	Agent - Life	2/24/2006	8/20/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/9/2005	8/20/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/9/2005	8/20/2007
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	2/20/2008	2/20/2013
Inactive	Kentucky National Insurance Company	301625	Agent - Property	2/20/2008	2/20/2013
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	4/1/2008	6/28/2010
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	4/1/2008	6/28/2010
Inactive	MICO Insurance Company	301664	Agent - Casualty	9/17/2008	3/1/2012
Inactive	MICO Insurance Company	301664	Agent - Property	9/17/2008	3/1/2012
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	4/1/2008	6/28/2010
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	4/1/2008	6/28/2010
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	9/17/2008	2/28/2013
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	9/17/2008	2/28/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/1/2008	2/8/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/1/2008	2/8/2013
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	7/9/2013	12/15/2015
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	7/9/2013	12/15/2015
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	6/8/2001	9/21/2007
Inactive	State Farm General Insurance Company	301122	Agent - Property	6/6/2001	9/21/2007
Inactive	State Farm Life Insurance Company	301810	Agent - Life	7/9/2013	12/15/2015
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	7/9/2013	12/15/2015
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	7/9/2013	12/15/2015
Inactive	Time Insurance Company	300683	Agent - Health	7/9/2013	12/15/2015
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	4/1/2008	1/30/2013
Inactive	Trustgard Insurance Company	300104	Agent - Property	4/1/2008	1/30/2013
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	4/1/2008	12/6/2010
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	4/1/2008	12/6/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CMI P&C, Inc.	600128	Agent - Property	2/20/2008	2/5/2013
Inactive	CMI P&C, Inc.	600128	Agent - Casualty	2/20/2008	2/5/2013
Inactive	CMI P&C, Inc.	600128	Agent - Life	4/21/2008	2/5/2013
Inactive	CMI P&C, Inc.	600128	Agent - Health	4/21/2008	2/5/2013