DEPARTMENT OF INSURANCE

Affiliations

Name	Sandifer, William Bradley	DOIID	607791	NAIC NPN	8455129

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	12/21/2018	9/30/2024
Active	Resident	Agent	Health	12/21/2018	9/30/2024
Active	Resident	Agent	Casualty	12/21/2018	9/30/2024
Active	Resident	Agent	Property	12/21/2018	9/30/2024
Active	Resident	Surplus Lines Broker	Not Applicable	7/28/2023	9/30/2024
* 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	07/15/2024	09/30/2024
Surplus Lines Broker	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acadia Insurance Company	557871	Agent - Casualty	1/22/2008	1/22/2014
Inactive	Acadia Insurance Company	557871	Agent - Property	1/22/2008	1/22/2014
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	7/20/2005	12/24/2008
Inactive	Allstate Indemnity Company	300778	Agent - Property	7/20/2005	12/24/2008
Inactive	Allstate Insurance Company	300773	Agent - Casualty	7/20/2005	12/24/2008
Inactive	Allstate Insurance Company	300773	Agent - Property	7/20/2005	12/24/2008
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	12/24/2008
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	12/24/2008
Inactive	American Economy Insurance Company	300315	Agent - Casualty	9/15/2010	10/1/2018
Inactive	American Economy Insurance Company	300315	Agent - Property	9/15/2010	10/1/2018
Active	American Fire and Casualty Company	300567	Agent - Casualty	2/21/2020
Active	American Fire and Casualty Company	300567	Agent - Property	2/21/2020
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	8/1/2013	4/18/2016
Inactive	American Interstate Insurance Company	301092	Agent - Property	8/1/2013	4/18/2016
Inactive	American States Insurance Company	301230	Agent - Casualty	9/15/2010	10/1/2018
Inactive	American States Insurance Company	301230	Agent - Property	9/15/2010	10/1/2018
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	10/15/2007	10/21/2010
Inactive	American Zurich Insurance Company	300592	Agent - Property	10/15/2007	10/21/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/22/2008	10/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/22/2008	10/1/2018
Inactive	Assurance Company of America	300432	Agent - Casualty	10/15/2007	10/21/2010
Inactive	Assurance Company of America	300432	Agent - Property	10/15/2007	10/21/2010
Active	Berkley National Insurance Company	515028	Agent - Casualty	5/24/2019
Active	Berkley National Insurance Company	515028	Agent - Property	5/24/2019
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	5/24/2019
Active	Berkley Regional Insurance Company	300920	Agent - Property	5/24/2019
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	11/9/2007	10/1/2018
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/19/2007	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/19/2007	12/7/2017
Inactive	BusinessFirst Insurance Company	722488	Agent - Casualty	4/13/2012	10/1/2018
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	1/13/2015	10/1/2018
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	1/13/2015	10/1/2018
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	3/15/2019
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	3/15/2019
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	3/15/2019
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	3/15/2019
Active	Cincinnati Insurance Company	301298	Agent - Casualty	3/15/2019
Active	Cincinnati Insurance Company	301298	Agent - Property	3/15/2019
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	11/19/2010	10/1/2018
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	3/15/2019
Active	ClearPath Insurance Company	979815	Agent - Casualty	3/7/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/15/2013	12/8/2015
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/15/2010	10/1/2018
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/15/2010	10/1/2018
Inactive	Continental Western Insurance Company	300576	Agent - Casualty	1/22/2008	1/22/2014
Inactive	Continental Western Insurance Company	300576	Agent - Property	1/22/2008	1/22/2014
Inactive	Country Mutual Insurance Company	301024	Agent - Casualty	1/1/2017	10/1/2018
Inactive	Country Mutual Insurance Company	301024	Agent - Property	1/1/2017	10/1/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/29/2016	10/1/2018
Active	EMC Property & Casualty Company	955217	Agent - Casualty	5/21/2021
Active	EMC Property & Casualty Company	955217	Agent - Property	5/21/2021
Active	EMCASCO Insurance Company	842790	Agent - Casualty	1/21/2020
Active	EMCASCO Insurance Company	842790	Agent - Property	1/21/2020
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	12/20/2013	10/1/2018
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	12/20/2013	10/1/2018
Active	Employers Mutual Casualty Company	300202	Agent - Casualty	1/21/2020
Active	Employers Mutual Casualty Company	300202	Agent - Property	1/21/2020
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	9/12/2014	6/27/2017
Inactive	Encompass Indemnity Company	546376	Agent - Property	9/12/2014	6/27/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	9/12/2014	6/27/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Property	9/12/2014	6/27/2017
Active	Erie Family Life Insurance Company	301400	Agent - Life	1/31/2019
Active	Erie Insurance Company	300230	Agent - Casualty	1/31/2019
Active	Erie Insurance Company	300230	Agent - Property	1/31/2019
Active	Erie Insurance Company of New York	789916	Agent - Casualty	1/31/2019
Active	Erie Insurance Company of New York	789916	Agent - Property	1/31/2019
Active	Erie Insurance Exchange	300789	Agent - Casualty	1/31/2019
Active	Erie Insurance Exchange	300789	Agent - Property	1/31/2019
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	1/31/2019
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	1/31/2019
Active	FCCI Insurance Company	557454	Agent - Casualty	12/27/2018
Active	FCCI Insurance Company	557454	Agent - Property	12/27/2018
Inactive	FFVA Mutual Insurance Company	552456	Agent - Casualty	1/1/2013	3/30/2018
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	3/25/2009	8/22/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	3/25/2009	8/22/2012
Inactive	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Casualty	8/13/2008	1/22/2014
Inactive	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Property	8/13/2008	1/22/2014
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	12/20/2013	10/1/2018
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	12/20/2013	10/1/2018
Inactive	First National Insurance Company of America	301690	Agent - Casualty	9/15/2010	10/1/2018
Inactive	First National Insurance Company of America	301690	Agent - Property	9/15/2010	10/1/2018
Active	Flagship City Insurance Company	789965	Agent - Casualty	1/31/2019
Active	Flagship City Insurance Company	789965	Agent - Property	1/31/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/26/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/26/2019
Inactive	General Insurance Company of America	300261	Agent - Casualty	9/15/2010	10/1/2018
Inactive	General Insurance Company of America	300261	Agent - Property	9/15/2010	10/1/2018
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/21/2017	10/1/2018
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	12/21/2017	10/1/2018
Inactive	Grange Insurance Company	300234	Agent - Casualty	12/21/2017	10/1/2018
Inactive	Grange Insurance Company	300234	Agent - Property	12/21/2017	10/1/2018
Inactive	Grange Life Insurance Company	300128	Agent - Life	5/31/2007	4/9/2008
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	12/21/2017	10/1/2018
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	12/21/2017	10/1/2018
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	3/31/2014	2/1/2018
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	3/31/2014	2/1/2018
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	3/31/2014	2/1/2018
Inactive	GuideOne Insurance Company	301794	Agent - Property	3/31/2014	2/1/2018
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	3/31/2014	2/1/2018
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	3/31/2014	2/1/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/13/2013	12/8/2015
Active	Humana Health Plan, Inc.	300142	Agent - Health	6/7/2019
Active	Humana Insurance Company	301104	Agent - Health	6/7/2019
Active	Humana Insurance Company	301104	Agent - Life	6/7/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/7/2009	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/7/2009	12/8/2015
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/15/2010	10/1/2018
Inactive	Indiana Insurance Company	301909	Agent - Property	9/15/2010	10/1/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/11/2010	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/11/2010	10/22/2015
Inactive	LM Insurance Corporation	301061	Agent - Casualty	12/20/2013	10/1/2018
Inactive	LM Insurance Corporation	301061	Agent - Property	12/20/2013	10/1/2018
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	12/20/2013	10/1/2018
Inactive	Liberty Insurance Corporation	300444	Agent - Property	12/20/2013	10/1/2018
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	12/20/2013	10/1/2018
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	12/20/2013	10/1/2018
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/20/2013	10/1/2018
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	12/20/2013	10/1/2018
Active	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	11/12/2021
Active	Manufacturers Alliance Insurance Company	519940	Agent - Property	11/12/2021
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/15/2007	10/21/2010
Inactive	Maryland Casualty Company	301719	Agent - Property	10/15/2007	10/21/2010
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Casualty	9/22/2008	1/1/2017
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Property	9/22/2008	1/1/2017
Active	Monroe Guaranty Insurance Company	300771	Agent - Casualty	12/27/2018
Active	Monroe Guaranty Insurance Company	300771	Agent - Property	12/27/2018
Active	National Trust Insurance Company	300367	Agent - Casualty	12/27/2018
Active	National Trust Insurance Company	300367	Agent - Property	12/27/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/15/2010	10/1/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/15/2010	10/1/2018
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/15/2007	10/21/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/15/2007	10/21/2010
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	2/12/2019
Active	Ohio Casualty Insurance Company	301492	Agent - Property	2/12/2019
Active	Ohio Security Insurance Company	300622	Agent - Casualty	2/22/2019
Active	Ohio Security Insurance Company	300622	Agent - Property	2/22/2019
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/15/2010	10/1/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/15/2010	10/1/2018
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/15/2010	10/1/2018
Inactive	Peerless Insurance Company	301910	Agent - Property	9/15/2010	10/1/2018
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	11/12/2021
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	11/12/2021
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	11/12/2021
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	11/12/2021
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	9/28/2022
Active	SAFECO Insurance Company of America	300159	Agent - Property	9/28/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/15/2010	10/1/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/15/2010	10/1/2018
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	5/19/2017	10/1/2018
Inactive	Selective Insurance Company of America	500018	Agent - Property	5/19/2017	10/1/2018
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	5/19/2017	10/1/2018
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	5/19/2017	10/1/2018
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	5/19/2017	10/1/2018
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	5/19/2017	10/1/2018
Active	StarNet Insurance Company	502746	Agent - Casualty	5/24/2019
Active	StarNet Insurance Company	502746	Agent - Property	5/24/2019
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	3/25/2009	8/22/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	3/25/2009	8/22/2012
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	12/21/2017	10/1/2018
Inactive	Trustgard Insurance Company	300104	Agent - Property	12/21/2017	10/1/2018
Inactive	Union Insurance Company	547433	Agent - Casualty	1/22/2008	1/22/2014
Inactive	Union Insurance Company	547433	Agent - Property	1/22/2008	1/22/2014
Active	Union Insurance Company of Providence	842791	Agent - Casualty	1/21/2020
Active	Union Insurance Company of Providence	842791	Agent - Property	1/21/2020
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	12/20/2013	3/31/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	12/20/2013	3/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	12/20/2013	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	12/20/2013	8/31/2015
Active	West American Insurance Company	301112	Agent - Casualty	9/6/2019
Active	West American Insurance Company	301112	Agent - Property	9/6/2019
Inactive	West Coast Life Insurance Company	301607	Agent - Health	12/13/2010	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	12/13/2010	11/16/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	10/1/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	10/1/2018
Active	Higgins Insurance Inc.	399505	Agent - Casualty	1/21/2019
Active	Higgins Insurance Inc.	399505	Agent - Property	1/21/2019
Active	Higgins Insurance Inc.	399505	Agent - Life	1/31/2019
Denied	Higgins Insurance Inc.	399505	Agent - Health
Inactive	J. G. Keown Insurance Agency Inc.	399889	Agent - Casualty	6/9/2005	3/31/2016
Inactive	J. G. Keown Insurance Agency Inc.	399889	Agent - Property	6/9/2005	3/31/2016