DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blair, Sandra Jill	DOIID	713342	NAIC NPN	14922839

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	2/24/2011		1/31/2026
Active	Resident	Agent	Health	10/6/2009		1/31/2026
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/27/2011	2/8/2016
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/27/2011	2/8/2016
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	8/25/2020	10/22/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/19/2011	8/21/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/19/2011	8/21/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/2/2021	9/22/2022
Inactive	Omaha Insurance Company	751908	Agent - Health	5/18/2012	3/24/2014
Active	United American Insurance Company	300910	Agent - Health	7/27/2023
Active	United American Insurance Company	300910	Agent - Life	7/27/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	11/2/2021	9/22/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/15/2011	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/15/2011	6/24/2013
Active	Woodmen of the World Life Insurance Society	301446	Agent - Health	3/8/2011
Active	Woodmen of the World Life Insurance Society	301446	Agent - Life	3/8/2011
Inactive	World Insurance Company	300396	Agent - Health	4/14/2011	1/2/2013
Inactive	World Insurance Company	300396	Agent - Life	4/14/2011	1/2/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	First Ins Group Property & Casualty Division Inc	633740	Agent - Health
Active	Woodmen Insurance Agency, Inc.	579244	Agent - Health	4/18/2011
Active	Woodmen Insurance Agency, Inc.	579244	Agent - Life	4/18/2011