DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Sandy Q	DOIID	383313	NAIC NPN	7206012

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	4/7/2010		1/31/2026
Active	Resident	Agent	Casualty	4/7/2010		1/31/2026
Inactive	Resident	Agent	General Lines	4/1/1996	8/15/2000
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	4/3/2003
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	7/16/1996	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	4/3/2003
Inactive	American and Foreign Insurance Company	301124	Agent - Casualty	3/23/2001	12/31/2004
Inactive	American and Foreign Insurance Company	301124	Agent - Property	3/23/2001	12/31/2004
Active	Arch Insurance Company	300688	Agent - Casualty	10/13/2023
Active	Arch Insurance Company	300688	Agent - Property	10/13/2023
Inactive	Arrowood Indemnity Company	300144	Agent - Casualty	3/23/2001	7/25/2007
Inactive	Arrowood Indemnity Company	300144	Agent - Property	3/23/2001	7/25/2007
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	2/12/2018
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	5/5/1997	8/15/2000
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	2/12/2018
Active	Capitol Indemnity Corporation	301030	Agent - Casualty	4/9/2024
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	2/12/2018
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	5/5/1997	8/15/2000
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	2/12/2018
Inactive	Chubb National Insurance Company	301392	Agent - General Lines	5/30/2000	8/15/2000
Active	ClearPath Insurance Company	979815	Agent - Casualty	2/28/2024
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Connecticut Indemnity Company (The)	301062	Agent - Casualty	5/5/2003	12/31/2004
Inactive	Connecticut Indemnity Company (The)	301062	Agent - Property	5/5/2003	12/31/2004
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	4/3/2003
Inactive	Continental Casualty Company	301019	Agent - General Lines	7/16/1996	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	4/3/2003
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Executive Risk Indemnity Inc.	301510	Agent - General Lines	6/7/2000	8/15/2000
Active	Farmington Casualty Company	301137	Agent - Casualty	2/12/2018
Active	Farmington Casualty Company	301137	Agent - Property	2/12/2018
Inactive	Federal Insurance Company	301144	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Fire and Casualty Insurance Company of Connecticut (The)	301592	Agent - Casualty	5/5/2003	12/31/2004
Inactive	Fire and Casualty Insurance Company of Connecticut (The)	301592	Agent - Property	5/5/2003	12/31/2004
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Globe Indemnity Company	300507	Agent - Casualty	3/23/2001	12/31/2004
Inactive	Globe Indemnity Company	300507	Agent - Property	3/23/2001	12/31/2004
Active	Gray Insurance Company (The)	301532	Agent - Casualty	11/21/2023
Inactive	Great Northern Insurance Company	301107	Agent - General Lines	5/30/2000	8/15/2000
Active	Guarantee Company of North America USA (The)	300857	Agent - Casualty	9/11/2014
Active	Harco National Insurance Company	300706	Agent - Casualty	3/13/2019
Active	International Fidelity Insurance Company	301131	Agent - Casualty	4/22/2010
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/22/2010	4/15/2022
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	4/3/2003
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	7/16/1996	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	4/3/2003
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	1/6/2003	8/12/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	1/6/2003	8/12/2009
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/1/2021	6/9/2021
Active	Old Republic Insurance Company	301225	Agent - Casualty	4/13/2010
Inactive	Pacific Indemnity Company	301610	Agent - General Lines	5/30/2000	8/15/2000
Active	Platte River Insurance Company	301089	Agent - Casualty	4/9/2024
Active	RLI Insurance Company	301217	Agent - Casualty	4/9/2010
Inactive	RLI Insurance Company	301217	Agent - General Lines	9/16/1996	3/31/1998
Active	RLI Insurance Company	301217	Agent - Property	4/9/2010
Inactive	Reliance Insurance Company	300785	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - General Lines	8/6/1997	8/15/2000
Inactive	Reliance Insurance Company	300785	Agent - Property	8/15/2000	6/5/2001
Inactive	Reliance National Indemnity Company	301939	Agent - General Lines	8/6/1997	8/15/2000
Inactive	Reliance Surety Company	301224	Agent - General Lines	8/6/1997	8/15/2000
Inactive	Royal Insurance Company of America	301120	Agent - Casualty	3/23/2001	12/31/2004
Inactive	Royal Insurance Company of America	301120	Agent - Property	3/23/2001	12/31/2004
Inactive	Safeguard Insurance Company	300800	Agent - Casualty	3/23/2001	12/31/2004
Inactive	Safeguard Insurance Company	300800	Agent - Property	3/23/2001	12/31/2004
Inactive	Security Insurance Company of Hartford	300973	Agent - Casualty	5/5/2003	7/25/2007
Inactive	Security Insurance Company of Hartford	300973	Agent - Property	5/5/2003	7/25/2007
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	2/12/2018
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	4/25/1997	8/15/2000
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	2/12/2018
Active	The Gray Casualty & Surety Company	661857	Agent - Casualty	11/21/2023
Active	The Phoenix Insurance Company	301502	Agent - Casualty	2/12/2018
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	4/28/1997	8/15/2000
Active	The Phoenix Insurance Company	301502	Agent - Property	2/12/2018
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Transportation Insurance Company	301575	Agent - General Lines	7/16/1996	3/31/1998
Inactive	TravCo Insurance Company	301828	Agent - Casualty	8/15/2000	1/31/2010
Inactive	TravCo Insurance Company	301828	Agent - General Lines	4/24/1997	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Property	8/15/2000	1/31/2010
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	1/31/2010
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	1/31/2010
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	2/12/2018
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	2/12/2018
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	2/12/2018
Active	Travelers Casualty and Surety Company	301067	Agent - Property	2/12/2018
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	2/12/2018
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - General Lines	6/16/2000	8/15/2000
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	2/12/2018
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	2/12/2018
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	2/12/2018
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	2/12/2018
Active	Travelers Indemnity Company (The)	301855	Agent - Property	2/12/2018
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	2/12/2018
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - General Lines	4/1/1996	8/15/2000
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	2/12/2018
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	2/12/2018
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - General Lines	4/25/1997	8/15/2000
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	2/12/2018
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	2/12/2018
Active	Travelers Property Casualty Company of America	301649	Agent - Property	2/12/2018
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	1/31/2010
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	1/31/2010
Inactive	United Pacific Insurance Company	300538	Agent - General Lines	8/6/1997	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Vigilant Insurance Company	301143	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	4/2/2004
Inactive	Western Surety Company	300283	Agent - General Lines	5/2/1996	8/15/2000
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/1/2021	6/9/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	4/18/2012
Active	Westfield Insurance Company	301950	Agent - Property	4/18/2012
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	1/6/2003	8/12/2009
Inactive	Westfield National Insurance Company	301036	Agent - Property	1/6/2003	8/12/2009
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/1/2021	6/9/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/1/2021	6/9/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/1/2021	6/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	J Smith Lanier & Co	549691	Agent - Property	4/13/2010	3/31/2018
Inactive	J Smith Lanier & Co	549691	Agent - Casualty	4/13/2010	3/31/2018
Active	Marsh & Mclennan Agency LLC	716460	Agent - Property	1/18/2018
Active	Marsh & Mclennan Agency LLC	716460	Agent - Casualty	1/18/2018
Inactive	Palmer & Cay of Kentucky Inc.	400878	Agent - Property	9/19/2001	2/1/2005
Inactive	Palmer & Cay of Kentucky Inc.	400878	Agent - Casualty	9/19/2001	2/1/2005
Inactive	Palmer & Cay of Kentucky, LLC	554283	Agent - Property	10/1/2002	1/1/2006
Inactive	Palmer & Cay of Kentucky, LLC	554283	Agent - Casualty	10/1/2002	1/1/2006
Inactive	Powell Walton Milward	400948	Agent - General Lines	4/30/1996	8/15/2000
Inactive	Powell Walton Milward	400948	Agent - Property	8/15/2000	5/31/2003
Inactive	Powell Walton Milward	400948	Agent - Casualty	8/15/2000	5/31/2003
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	1/4/2006	6/25/2007
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	1/4/2006	6/25/2007