DEPARTMENT OF INSURANCE

Affiliations

Name	Leys, Kevin H	DOIID	536253	NAIC NPN	1313314

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	9/22/2020	6/30/2025
Active	Non Resident	Agent	Life	9/21/2001	6/30/2025
Active	Non Resident	Agent	Casualty	11/27/2001	6/30/2025
Active	Non Resident	Agent	Health	9/21/2001	6/30/2025
Active	Non Resident	Agent	Property	11/27/2001	6/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/5/2011	6/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AXIS Insurance Company	301290	Agent - Health	1/10/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/26/2012	5/31/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/26/2012	5/31/2019
Inactive	Berkley Life and Health Insurance Company	301421	Agent - Health	12/28/2015	3/18/2019
Active	Companion Life Insurance Company	300191	Agent - Health	11/18/2010
Active	Companion Life Insurance Company	300191	Agent - Life	11/18/2010
Inactive	Fairmont Premier Insurance Company	300892	Agent - Casualty	10/6/2004	12/21/2006
Inactive	Fairmont Premier Insurance Company	300892	Agent - Health	10/6/2004	12/21/2006
Inactive	Fairmont Premier Insurance Company	300892	Agent - Property	10/6/2004	12/21/2006
Active	Nationwide Life Insurance Company	300495	Agent - Health	10/9/2003
Active	Nationwide Life Insurance Company	300495	Agent - Life	10/9/2003
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	11/4/2005
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	11/4/2005
Active	North River Insurance Company (The)	301739	Agent - Casualty	10/18/2006
Active	North River Insurance Company (The)	301739	Agent - Health	10/18/2006
Active	North River Insurance Company (The)	301739	Agent - Property	10/18/2006
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	9/21/2001	1/22/2015
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	9/21/2001	1/22/2015
Inactive	TIG Insurance Company	301750	Agent - Casualty	1/8/2002	8/19/2005
Inactive	TIG Insurance Company	301750	Agent - Property	1/8/2002	8/19/2005
Active	United States Fire Insurance Company	582240	Agent - Casualty	10/18/2006
Active	United States Fire Insurance Company	582240	Agent - Health	10/18/2006
Active	United States Fire Insurance Company	582240	Agent - Property	10/18/2006
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 to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Co-Ordinated Benefit Plans Llc	397781	Agent - Life	1/2/2013
Active	Co-Ordinated Benefit Plans Llc	397781	Agent - Health	1/2/2013
Active	Co-Ordinated Benefit Plans Llc	397781	Agent - Property	1/4/2013
Active	Co-Ordinated Benefit Plans Llc	397781	Agent - Casualty	1/4/2013
Active	Co-Ordinated Benefit Plans Llc	397781	Administrator - Not Applicable	9/24/2020
Active	Equinox Management Group, Inc.	536058	Agent - Life	11/27/2001
Active	Equinox Management Group, Inc.	536058	Agent - Health	11/27/2001
Active	Equinox Management Group, Inc.	536058	Agent - Property	11/27/2001
Active	Equinox Management Group, Inc.	536058	Agent - Casualty	11/27/2001
Active	Meridian Management Group LLC	536060	Agent - Life	10/23/2001
Active	Meridian Management Group LLC	536060	Agent - Health	10/23/2001
Active	Meridian Management Group LLC	536060	Agent - Property	11/27/2001
Active	Meridian Management Group LLC	536060	Agent - Casualty	11/27/2001
Active	Meridian Management Group LLC	536060	Surplus Lines Broker - Not Applicable	3/4/2011