DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Leatherman, Kenneth Roy	DOIID	1281159	NAIC NPN	6263846

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/20/2023		8/31/2025
Active	Non Resident	Agent	Health	6/20/2023		8/31/2025
Active	Non Resident	Agent	Casualty	6/20/2023		8/31/2025
Active	Non Resident	Agent	Life	6/20/2023		8/31/2025
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	6/29/2023	12/17/2024
* 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	06/15/2025	08/31/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assuredpartners Of Oregon LLC	905764	Agent - Casualty
Denied	Assuredpartners Of Oregon LLC	905764	Agent - Property
Inactive	Assuredpartners Of Oregon LLC	905764	Surplus Lines Broker - Not Applicable	8/17/2023	12/17/2024