PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameHines, Sandra KDOIID1381415NAIC NPN16629415
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty1/22/2025 4/30/2028
ActiveNon ResidentAgentProperty1/22/2025 4/30/2028
ActiveNon ResidentSurplus Lines BrokerNot Applicable2/3/2025 4/30/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent02/15/202604/30/202603/11/202603/11/2026Yes
Surplus Lines Broker02/15/202604/30/202603/11/202603/11/2026Yes
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedTis Ins Services Inc523150Agent - Casualty  
DeniedTis Ins Services Inc523150Agent - Property  
ActiveTis Ins Services Inc523150Surplus Lines Broker - Not Applicable3/3/2025 

© Commonwealth of Kentucky. All rights reserved.