DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Leveille, Viard	DOIID	968290	NAIC NPN	17056996

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/18/2017	8/31/2019
Inactive	Non Resident	Agent	Life	9/18/2017	8/31/2019
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/24/2019	9/9/2019
Inactive	Federal Insurance Company	301144	Agent - Health	7/12/2019	8/31/2019
Inactive	LifeShield National Insurance Company	737111	Agent - Health	6/6/2019	8/31/2019
Inactive	LifeShield National Insurance Company	737111	Agent - Life	10/10/2017	8/31/2019
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	12/29/2017	8/31/2019
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	12/29/2017	8/31/2019
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	9/26/2018	2/12/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	5/21/2019	8/31/2019