DEPARTMENT OF INSURANCE

Affiliations

Name	Duvall, Sandra Michelle	DOIID	803914	NAIC NPN	8449966

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/19/2013	8/31/2026
Active	Non Resident	Agent	Life	2/19/2013	8/31/2026
Active	Non Resident	Agent	Property	2/19/2013	8/31/2026
Active	Non Resident	Agent	Health	2/19/2013	8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024	06/15/2024	06/15/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Boston Mutual Life Insurance Company	300143	Agent - Health	9/25/2013
Active	Boston Mutual Life Insurance Company	300143	Agent - Life	9/25/2013
Active	Combined Insurance Company of America	301472	Agent - Health	3/20/2013
Active	Combined Insurance Company of America	301472	Agent - Life	3/20/2013
Inactive	Continental American Insurance Company	301700	Agent - Health	3/20/2013	6/18/2024
Inactive	Continental American Insurance Company	301700	Agent - Life	3/20/2013	6/18/2024
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/31/2014	5/4/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/31/2014	5/4/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/9/2019	7/22/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/9/2019	7/22/2022
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/3/2013	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/3/2013	12/18/2020
Inactive	Starmount Life Insurance Company	628031	Agent - Health	12/9/2019	7/22/2022
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/10/2017
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/10/2017
Inactive	Trustmark Insurance Company	300317	Agent - Health	3/13/2013	4/28/2019
Inactive	Trustmark Insurance Company	300317	Agent - Life	3/13/2013	4/28/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/9/2019	7/22/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/9/2019	7/22/2022
Inactive	Unum Insurance Company	301499	Agent - Health	12/9/2019	7/22/2022
Inactive	Unum Insurance Company	301499	Agent - Life	12/9/2019	7/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Health	11/4/2019	1/7/2020
Denied	Willis Of Illinois Inc	398318	Agent - Casualty
Inactive	Willis Of Illinois Inc	398318	Agent - Life	11/4/2019	1/7/2020
Denied	Willis Of Illinois Inc	398318	Agent - Property
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Health	2/1/2020	12/28/2023
Denied	Willis Towers Watson Midwest, Inc.	534348	Agent - Casualty
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Life	2/1/2020	12/28/2023
Denied	Willis Towers Watson Midwest, Inc.	534348	Agent - Property