DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Laubenthal, Sandra M	DOIID	771952	NAIC NPN	6887161

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/5/2012	4/30/2023
Inactive	Non Resident	Agent	Property	1/5/2012	4/30/2023
Inactive	Non Resident	Agent	Life	1/5/2012	4/30/2023
Inactive	Non Resident	Agent	Casualty	1/5/2012	4/30/2023
* 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	Fortitude U.S. Reinsurance Company	301469	Agent - Health	1/11/2012	10/19/2017
Inactive	Fortitude U.S. Reinsurance Company	301469	Agent - Life	1/11/2012	10/19/2017
Inactive	Pharmacists Mutual Insurance Company	301292	Agent - Casualty	1/17/2018	6/15/2023
Inactive	Pharmacists Mutual Insurance Company	301292	Agent - Property	1/17/2018	6/15/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Life	1/26/2012	10/19/2017
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Health	1/26/2012	10/19/2017
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Property	1/26/2012	10/12/2017
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Casualty	1/26/2012	10/12/2017