DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Worley, Leslie A	DOIID	869124	NAIC NPN	15822580

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/11/2015		2/28/2025
Active	Non Resident	Agent	Casualty	2/13/2015		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	Bond Safeguard Insurance Company	564983	Agent - Casualty	2/20/2015
Active	Lexon Insurance Company	300352	Agent - Casualty	2/20/2015
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	5/22/2015
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/22/2015
Active	Old Republic Insurance Company	301225	Agent - Casualty	3/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	The Surety Group Agency LLC	691852	Agent - Casualty	3/2/2015	3/29/2019