DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kaiser, Sandra Elaine	DOIID	646515	NAIC NPN	9002128

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	2/20/2007	8/1/2012
Inactive	Resident	Agent	Casualty	2/6/2007	8/1/2012
Inactive	Resident	Surplus Lines Broker	Not Applicable	11/19/2008	12/18/2010
* 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	Fireman's Fund Insurance Company	301423	Agent - Casualty	5/7/2010	10/26/2011
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	5/7/2010	10/26/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Partners Specialty Group LLC	612493	Agent - Casualty	5/7/2010	9/28/2010
Inactive	Partners Specialty Group LLC	612493	Agent - Property	5/7/2010	9/28/2010
Inactive	Partners Specialty Group LLC	612493	Surplus Lines Broker - Not Applicable	4/12/2010	9/28/2010