DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sandoval, Justine Victoria	DOIID	1205949	NAIC NPN	19284718

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/18/2022		3/31/2026
Active	Non Resident	Agent	Property	5/18/2022		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	1st Choice Advantage Insurance Company, Inc.	750782	Agent - Casualty	7/1/2022
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	6/22/2022
Active	Auto-Owners Insurance Company	301480	Agent - Property	6/22/2022
Active	Everett Cash Mutual Insurance Company	750768	Agent - Casualty	7/1/2022
Active	Everett Cash Mutual Insurance Company	750768	Agent - Property	7/1/2022
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/13/2022
Active	Ohio Casualty Insurance Company	301492	Agent - Property	10/13/2022
Active	Owners Insurance Company	300796	Agent - Casualty	6/22/2022
Active	Owners Insurance Company	300796	Agent - Property	6/22/2022
Active	Westfield Insurance Company	301950	Agent - Casualty	6/23/2022
Active	Westfield Insurance Company	301950	Agent - Property	6/23/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Johnson Ins Services Inc	811799	Agent - Casualty	6/22/2022
Active	Johnson Ins Services Inc	811799	Agent - Property	6/22/2022