DEPARTMENT OF INSURANCE

Affiliations

Name	Quilliams, Sandra M	DOIID	823307	NAIC NPN	5949796

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/4/2013	9/30/2015
Inactive	Non Resident	Agent	Property	12/17/2015	9/30/2017
Inactive	Non Resident	Agent	Life	10/4/2013	9/30/2015
Inactive	Non Resident	Agent	Casualty	12/17/2015	9/30/2017
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	12/3/2014	9/30/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/3/2014	9/30/2015
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	12/28/2015	5/9/2016
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	12/28/2015	5/9/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/3/2014	9/30/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/3/2014	9/30/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/3/2014	9/30/2015
Inactive	Humana Insurance Company	301104	Agent - Health	12/3/2014	9/30/2015
Inactive	Humana Insurance Company	301104	Agent - Life	12/3/2014	9/30/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/3/2014	9/30/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/3/2014	9/30/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/3/2014	9/30/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/11/2013	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/11/2013	11/3/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/9/2013	9/30/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/9/2013	9/30/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/9/2013	9/30/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/9/2013	9/30/2015
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	12/28/2015	5/9/2016
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	12/28/2015	5/9/2016
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	12/28/2015	5/9/2016
Inactive	USAA General Indemnity Company	300131	Agent - Property	12/28/2015	5/9/2016
Inactive	United Services Automobile Association	300158	Agent - Casualty	12/28/2015	5/9/2016
Inactive	United Services Automobile Association	300158	Agent - Property	12/28/2015	5/9/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Property	12/31/2015	5/6/2016
Inactive	Financial Insurance Services, Inc.	514710	Agent - Casualty	12/31/2015	5/6/2016