DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rollins, Sandy	DOIID	906081	NAIC NPN	16970334

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	2/8/2016	2/28/2021
Inactive	Non Resident	Agent	Casualty	2/8/2016	2/28/2021
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	2/12/2016	3/21/2020
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	2/12/2016	3/21/2020
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/23/2016	4/8/2020
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/23/2016	4/8/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/23/2016	8/31/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/23/2016	8/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Leavitt Group Agency Assn LLC	696306	Agent - Property	2/16/2016	4/8/2020
Inactive	Leavitt Group Agency Assn LLC	696306	Agent - Casualty	2/16/2016	4/8/2020