DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lebo, Susan	DOIID	751813	NAIC NPN	2049718

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/3/2017		11/30/2024
Active	Non Resident	Agent	Casualty	3/3/2017		11/30/2024
Active	Non Resident	Agent	Property	3/3/2017		11/30/2024
Active	Non Resident	Agent	Health	3/3/2017		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	New York Life Insurance Company	300431	Agent - Health	9/17/2013	12/21/2016
Inactive	New York Life Insurance Company	300431	Agent - Life	9/17/2013	12/21/2016
Inactive	Response Insurance Company	300240	Agent - Casualty	9/13/2013	1/2/2014
Inactive	Response Insurance Company	300240	Agent - Property	9/13/2013	1/2/2014
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Casualty	9/13/2013	12/20/2016
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Property	9/13/2013	12/20/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Health	1/13/2014	11/30/2016
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Life	1/13/2014	11/30/2016
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Property	1/13/2014	11/30/2016
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Casualty	1/13/2014	11/30/2016