DEPARTMENT OF INSURANCE

Affiliations

Name	Meridian Management Group LLC	DOIID	536060	NAIC NPN	3399666

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/27/2001	3/31/2025
Active	Non Resident	Agent	Life	10/23/2001	3/31/2025
Active	Non Resident	Agent	Health	10/23/2001	3/31/2025
Active	Non Resident	Agent	Property	11/27/2001	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/4/2011	3/31/2025
* 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	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AXIS Insurance Company	301290	Agent - Health	1/7/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/26/2012	4/8/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/26/2012	4/8/2020
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	11/16/2007	11/23/2009
Inactive	Berkley Life and Health Insurance Company	301421	Agent - Health	12/28/2015	3/18/2019
Inactive	Catlin Insurance Company, Inc.	300979	Agent - Health	2/1/2018	9/12/2022
Active	Companion Life Insurance Company	300191	Agent - Health	2/4/2020
Active	Companion Life Insurance Company	300191	Agent - Life	2/4/2020
Inactive	Fairmont Premier Insurance Company	300892	Agent - Casualty	12/7/2004	9/26/2006
Inactive	Fairmont Premier Insurance Company	300892	Agent - Health	4/8/2005	9/26/2006
Inactive	Fairmont Premier Insurance Company	300892	Agent - Property	12/7/2004	9/26/2006
Active	Nationwide Life Insurance Company	300495	Agent - Health	10/9/2003
Active	Nationwide Life Insurance Company	300495	Agent - Life	10/9/2003
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	11/4/2005	1/25/2019
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	11/4/2005	1/25/2019
Active	North River Insurance Company (The)	301739	Agent - Casualty	4/28/2006
Active	North River Insurance Company (The)	301739	Agent - Health	4/28/2006
Active	North River Insurance Company (The)	301739	Agent - Property	4/28/2006
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	10/23/2001
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	10/23/2001
Inactive	StarNet Insurance Company	502746	Agent - Health	12/28/2015	3/18/2019
Inactive	TIG Insurance Company	301750	Agent - Casualty	1/11/2002	8/19/2005
Inactive	TIG Insurance Company	301750	Agent - Property	1/11/2002	8/19/2005
Active	United States Fire Insurance Company	582240	Agent - Casualty	4/28/2006
Active	United States Fire Insurance Company	582240	Agent - Health	4/28/2006
Active	United States Fire Insurance Company	582240	Agent - Property	4/28/2006
Active	Virginia Surety Company, Inc.	301022	Agent - Casualty	11/27/2001
Active	Virginia Surety Company, Inc.	301022	Agent - Health	3/1/2004
Active	Virginia Surety Company, Inc.	301022	Agent - Property	11/27/2001

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Leys, Kevin H	536253	Agent - Casualty	11/27/2001
Active	Leys, Kevin H	536253	Agent - Health	10/23/2001
Active	Leys, Kevin H	536253	Agent - Life	10/23/2001
Active	Leys, Kevin H	536253	Agent - Property	11/27/2001
Active	Leys, Kevin H	536253	Surplus Lines Broker - Not Applicable	3/4/2011