DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Leyva Jr, Jose Israel	DOIID	671116	NAIC NPN	8957248

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/28/2007		9/30/2026
Active	Non Resident	Agent	Life	12/28/2007		9/30/2026
* 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	07/15/2024	09/30/2024	08/05/2024	08/05/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/15/2012	12/10/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/10/2013	5/28/2015
Inactive	HCC Life Insurance Company	301827	Agent - Health	11/23/2016	6/12/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/12/2012	5/20/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/10/2013	5/28/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/7/2011	5/20/2014
Inactive	Humana Insurance Company	301104	Agent - Life	10/7/2011	5/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/15/2012	5/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/15/2012	5/20/2014
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	8/20/2008
Inactive	Security Life Insurance Company of America	300936	Agent - Health	4/6/2010	1/2/2013
Inactive	Security Life Insurance Company of America	300936	Agent - Life	4/6/2010	1/2/2013
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	12/15/2014
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	1/25/2012	9/6/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	11/12/2019	4/22/2022