DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sands, Patrice	DOIID	724444	NAIC NPN	8263177

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/12/2010	2/29/2012
Inactive	Non Resident	Agent	Life	3/12/2010	2/29/2012
* 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	Dental Concern Inc. (The)	301641	Agent - Health	2/15/2011	8/2/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/15/2011	8/2/2011
Inactive	Humana Insurance Company	301104	Agent - Health	10/12/2010	8/2/2011
Inactive	Humana Insurance Company	301104	Agent - Life	10/12/2010	8/2/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/15/2011	8/2/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/15/2011	8/2/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	1/4/2011	8/1/2011
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	1/4/2011	8/1/2011