black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AMANDA MICHELLE SANDOVAL

PRODUCER NON-RESIDENT

License Number:
PRN302354
Status:
First Licensure:
02/01/2018
Cancel Date:
None

Mailing:
HIGHLAND, IN 46322
Phone:
+1 (219) 293-5697
Fax:
+1 (855) 804-8443
Email:
asandoval1422@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/01/2018

Agency

Name Issue Date License Number Expiration Date Cancel Date
BIN INSURANCE HOLDINGS LLC
02/01/2018 AGN179429 01/05/2021
CORIX INSURANCE SERVICES, LLC
09/19/2023 AGN326781

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACUITY A MUTUAL INSURANCE COMPANY
04/05/2019 PCF155357 02/04/2021
OHIO SECURITY INSURANCE COMPANY
12/04/2023 PCF200581 07/18/2024
PROGRESSIVE NORTHERN INSURANCE COMPANY
02/16/2021 PCF51006 05/17/2021
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
02/16/2021 PCF27738 05/17/2021
STATE NATIONAL INSURANCE COMPANY INC.
02/01/2021 PCF75933

Authority

Description Issue Date Termination Date Status
CASUALTY 02/01/2018 Active
PROPERTY 02/01/2018 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17687248

Other Addresses

Address Type
HIGHLAND, IN 46322
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/22/2025 01:14:44 AM