DEPARTMENT OF INSURANCE

Affiliations

Name	Raval, Sanjay Harshadray	DOIID	564218	NAIC NPN	7526550

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/4/2005	2/28/2025
Active	Non Resident	Agent	Property	11/4/2005	2/28/2025
Active	Non Resident	Agent	Health	7/30/2015	2/28/2025
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	6/30/2021
Active	American Modern Home Insurance Company	300791	Agent - Property	6/30/2021
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	3/5/2018	11/12/2019
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	3/5/2018	11/12/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/10/2015	10/12/2017
Active	Homesite Insurance Company	301139	Agent - Casualty	4/1/2021
Active	Homesite Insurance Company	301139	Agent - Property	4/1/2021
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	4/1/2021
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	4/1/2021
Inactive	LM General Insurance Company	300133	Agent - Casualty	3/19/2010	11/12/2019
Inactive	LM General Insurance Company	300133	Agent - Property	3/19/2010	11/12/2019
Inactive	LM Insurance Corporation	301061	Agent - Casualty	3/19/2010	11/12/2019
Inactive	LM Insurance Corporation	301061	Agent - Property	3/19/2010	11/12/2019
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	11/23/2005	11/12/2019
Inactive	Liberty Insurance Corporation	300444	Agent - Property	11/23/2005	11/12/2019
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	3/5/2018	11/12/2019
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	3/5/2018	11/12/2019
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/5/2018	11/12/2019
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	3/5/2018	11/12/2019
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	8/6/2018	11/12/2019
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Property	8/6/2018	11/12/2019
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/10/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/10/2015	2/14/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Helmsman Ins Agency LLC	572054	Agent - Casualty	7/23/2018	1/30/2019
Inactive	Helmsman Ins Agency LLC	572054	Agent - Property	7/23/2018	1/30/2019
Denied	Helmsman Ins Agency LLC	572054	Agent - Health