DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Herman, Leif Ryan	DOIID	931471	NAIC NPN	17890045

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/14/2019	5/31/2022
Inactive	Non Resident	Agent	Life	10/14/2019	5/31/2022
* 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	ACE American Insurance Company	300625	Agent - Health	4/18/2017	5/31/2018
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	10/23/2019	5/31/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	9/14/2017	5/31/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/14/2017	5/31/2018
Inactive	Federal Insurance Company	301144	Agent - Health	4/18/2017	5/31/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/8/2016	1/12/2017
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	10/8/2016	1/12/2017
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	8/1/2017	5/31/2018
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	8/1/2017	5/31/2018
Inactive	National Health Insurance Company	300554	Agent - Health	9/13/2017	5/31/2018
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	9/13/2017	5/31/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	1/11/2017	5/31/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	1/11/2017	5/31/2018
Inactive	Unified Life Insurance Company	543169	Agent - Health	11/3/2016	12/12/2017
Inactive	United States Fire Insurance Company	582240	Agent - Health	3/19/2020	6/1/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clever Policy, LLC	1084197	Agent - Life	5/19/2020	3/31/2022
Inactive	Clever Policy, LLC	1084197	Agent - Health	5/19/2020	3/31/2022
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	11/12/2019	5/31/2022