DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mindala, Sara	DOIID	733194	NAIC NPN	15820820

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	9/17/2014	12/31/2016
Inactive	Non Resident	Agent	Life	7/27/2010	12/31/2016
Inactive	Non Resident	Agent	Health	7/27/2010	12/31/2016
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Elixir Rx Solutions LLC	843817	Administrator - Not Applicable	9/19/2014	12/31/2016
Inactive	Elixir Rx Solutions LLC	843817	Administrator - Not Applicable	12/27/2016	12/31/2016