DEPARTMENT OF INSURANCE

Affiliations

Name	Sanford, Teddy	DOIID	764207	NAIC NPN	16397015

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	10/31/2011	4/30/2025
Active	Resident	Agent	Casualty	10/31/2011	4/30/2025
Active	Resident	Agent	Life	12/2/2011	4/30/2025
Active	Resident	Agent	Health	12/2/2011	4/30/2025
* 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 Modern Home Insurance Company	300791	Agent - Casualty	8/7/2015	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/7/2015	12/13/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/18/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/18/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/7/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/7/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/7/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/7/2015	11/14/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	1/2/2014
Active	Bristol West Insurance Company	301655	Agent - Property	1/2/2014
Active	Dairyland Insurance Company	301370	Agent - Casualty	12/23/2013
Active	Dairyland Insurance Company	301370	Agent - Property	12/23/2013
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/2/2014
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/2/2014
Active	Shelter General Insurance Company	301109	Agent - Casualty	11/4/2013
Active	Shelter General Insurance Company	301109	Agent - Property	11/4/2013
Active	Shelter Life Insurance Company	300391	Agent - Health	11/4/2013
Active	Shelter Life Insurance Company	300391	Agent - Life	11/4/2013
Active	Shelter Mutual Insurance Company	301870	Agent - Casualty	11/4/2013
Active	Shelter Mutual Insurance Company	301870	Agent - Property	11/4/2013
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	10/31/2011	12/12/2013
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	10/31/2011	12/12/2013
Inactive	State Farm Life Insurance Company	301810	Agent - Life	12/2/2011	12/12/2013
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	10/31/2011	12/12/2013
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	12/2/2011	12/12/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Daniel Boone Agency, LLC.	515760	Agent - Casualty	11/22/2013
Active	Daniel Boone Agency, LLC.	515760	Agent - Life	11/22/2013
Active	Daniel Boone Agency, LLC.	515760	Agent - Property	11/22/2013
Active	Daniel Boone Agency, LLC.	515760	Agent - Health	11/22/2013