DEPARTMENT OF INSURANCE

Affiliations

Name	Trevino, Leticia Adriana	DOIID	806804	NAIC NPN	8068213

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/29/2013	11/30/2024
Active	Non Resident	Agent	Property	3/29/2013	11/30/2024
Active	Non Resident	Agent	Life	2/19/2014	11/30/2024
Active	Non Resident	Agent	Health	2/19/2014	11/30/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/5/2021	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
Surplus Lines Broker	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/19/2016
Active	Aetna Life Insurance Company	301140	Agent - Health	10/19/2016
Active	Aetna Life Insurance Company	301140	Agent - Life	10/19/2016
Active	AmGUARD Insurance Company	500010	Agent - Casualty	9/17/2018
Active	AmGUARD Insurance Company	500010	Agent - Property	9/17/2018
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	2/1/2016	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	2/1/2016	10/15/2021
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	2/1/2016	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	2/1/2016	10/13/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/19/2016	6/15/2022
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	3/19/2017	12/2/2018
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	3/19/2017	12/2/2018
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	3/22/2017	12/2/2018
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	3/22/2017	12/2/2018
Inactive	Indiana Insurance Company	301909	Agent - Casualty	2/1/2016	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	2/1/2016	2/3/2023
Active	Nationwide Assurance Company	300166	Agent - Casualty	2/6/2022
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	9/2/2019	8/25/2023
Inactive	Nationwide General Insurance Company	300603	Agent - Property	9/2/2019	8/25/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	9/2/2019	8/25/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	9/2/2019	8/25/2023
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	2/6/2022
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	2/6/2022
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	2/1/2016	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	2/1/2016	4/26/2024
Active	NorGUARD Insurance Company	500015	Agent - Casualty	9/17/2018
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	2/1/2016
Active	Ohio Casualty Insurance Company	301492	Agent - Property	2/1/2016
Active	Ohio Security Insurance Company	300622	Agent - Casualty	2/1/2016
Active	Ohio Security Insurance Company	300622	Agent - Property	2/1/2016
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	2/1/2016
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	2/1/2016
Active	Peerless Insurance Company	301910	Agent - Casualty	2/1/2016
Active	Peerless Insurance Company	301910	Agent - Property	2/1/2016
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/6/2016	12/13/2017
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	6/6/2016	12/13/2017
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	10/25/2017	12/11/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	10/25/2017	12/11/2020
Inactive	U.S. Underwriters Insurance Company	815455	Agent - Casualty	2/22/2018	7/5/2023
Inactive	U.S. Underwriters Insurance Company	815455	Agent - Property	2/22/2018	7/5/2023
Active	United Financial Casualty Company	301886	Agent - Casualty	5/20/2014
Active	United Financial Casualty Company	301886	Agent - Property	5/20/2014
Active	West American Insurance Company	301112	Agent - Casualty	2/1/2016
Active	West American Insurance Company	301112	Agent - Property	2/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Heffernan Ins Brokers	597449	Surplus Lines Broker - Not Applicable	6/9/2021
Inactive	Patra Corporation	804810	Agent - Casualty	4/21/2016	2/16/2022
Inactive	Patra Corporation	804810	Agent - Property	4/21/2016	2/16/2022
Inactive	Patra Corporation	804810	Agent - Life	5/27/2016	2/16/2022
Inactive	Patra Corporation	804810	Agent - Health	5/27/2016	2/16/2022
Inactive	Selectsolutions Ins Services, Inc	807620	Agent - Casualty	4/23/2013	3/25/2022
Inactive	Selectsolutions Ins Services, Inc	807620	Agent - Property	4/23/2013	3/25/2022