DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blair, Sandra Jill	DOIID	713342	NAIC NPN	14922839

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	2/24/2011		1/31/2026
Active	Resident	Agent	Health	10/6/2009		1/31/2026
* 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	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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/27/2011	2/8/2016
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/27/2011	2/8/2016
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	8/25/2020	10/22/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/19/2011	8/21/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/19/2011	8/21/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/2/2021	9/22/2022
Inactive	Omaha Insurance Company	751908	Agent - Health	5/18/2012	3/24/2014
Inactive	United American Insurance Company	300910	Agent - Health	7/27/2023	12/17/2024
Inactive	United American Insurance Company	300910	Agent - Life	7/27/2023	12/17/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	11/2/2021	9/22/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/15/2011	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/15/2011	6/24/2013
Active	Woodmen of the World Life Insurance Society	301446	Agent - Health	3/8/2011
Active	Woodmen of the World Life Insurance Society	301446	Agent - Life	3/8/2011
Inactive	World Insurance Company	300396	Agent - Health	4/14/2011	1/2/2013
Inactive	World Insurance Company	300396	Agent - Life	4/14/2011	1/2/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	First Ins Group Property & Casualty Division Inc	633740	Agent - Health
Active	Woodmen Insurance Agency, Inc.	579244	Agent - Health	4/18/2011
Active	Woodmen Insurance Agency, Inc.	579244	Agent - Life	4/18/2011