DEPARTMENT OF INSURANCE

Affiliations

Name	Leavitt Ins Services Of Los Angeles Inc	DOIID	782663	NAIC NPN	2747103

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	5/24/2012	5/7/2024
Inactive	Non Resident	Agent	Life	5/24/2012	7/22/2015
Inactive	Non Resident	Agent	Casualty	5/24/2012	5/7/2024
Inactive	Non Resident	Agent	Health	5/24/2012	7/22/2015
* 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
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	10/10/2018	9/29/2023
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	10/10/2018	9/29/2023
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	8/18/2015	2/13/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	8/18/2015	2/13/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/29/2013	12/5/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/18/2015	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/18/2015	10/13/2022
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	10/1/2018	9/29/2023
Inactive	Continental Insurance Company (The)	301242	Agent - Property	10/1/2018	9/29/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/29/2013	12/5/2014
Inactive	Federal Insurance Company	301144	Agent - Casualty	6/17/2014	12/18/2023
Inactive	Federal Insurance Company	301144	Agent - Property	6/17/2014	12/18/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/29/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	10/29/2013	7/22/2015
Inactive	Humana Insurance Company	301104	Agent - Life	10/29/2013	7/22/2015
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/18/2015	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	8/18/2015	2/3/2023
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/29/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/29/2013	12/5/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/18/2015	2/13/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/18/2015	2/13/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/18/2015	2/13/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/18/2015	2/13/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/18/2015	2/13/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/18/2015	2/13/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	8/18/2015	2/13/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	8/18/2015	2/13/2024
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/18/2015	2/13/2024
Inactive	Peerless Insurance Company	301910	Agent - Property	8/18/2015	2/13/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/12/2013	7/22/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/12/2013	7/22/2015
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Casualty	4/5/2013	12/5/2017
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Property	4/5/2013	12/5/2017
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	9/3/2013	12/21/2015
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	9/3/2013	12/21/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/12/2013	7/22/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/12/2013	7/22/2015
Inactive	West American Insurance Company	301112	Agent - Casualty	8/18/2015	2/13/2024
Inactive	West American Insurance Company	301112	Agent - Property	8/18/2015	2/13/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Blaich, Kenneth Bruce	882831	Agent - Casualty	8/14/2015	5/7/2024
Denied	Blaich, Kenneth Bruce	882831	Agent - Health
Denied	Blaich, Kenneth Bruce	882831	Agent - Life
Inactive	Blaich, Kenneth Bruce	882831	Agent - Property	8/14/2015	5/7/2024
Denied	Pendergraft, Ross William	891628	Agent - Health
Denied	Pendergraft, Ross William	891628	Agent - Life
Inactive	Russ, Mark A	696936	Agent - Casualty	5/24/2012	7/22/2015
Inactive	Russ, Mark A	696936	Agent - Health	5/24/2012	7/22/2015
Inactive	Russ, Mark A	696936	Agent - Life	5/24/2012	7/22/2015
Inactive	Russ, Mark A	696936	Agent - Property	5/24/2012	7/22/2015
Inactive	Weinberg, Rudi Uriel	601873	Agent - Casualty	8/29/2019	5/7/2024
Denied	Weinberg, Rudi Uriel	601873	Agent - Health
Denied	Weinberg, Rudi Uriel	601873	Agent - Life
Inactive	Weinberg, Rudi Uriel	601873	Agent - Property	9/27/2016	5/7/2024