DEPARTMENT OF INSURANCE

Affiliations

Name	Meridian Management Group LLC	DOIID	536060	NAIC NPN	3399666

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/23/2001	3/31/2027
Active	Non Resident	Agent	Property	11/27/2001	3/31/2027
Active	Non Resident	Agent	Casualty	11/27/2001	3/31/2027
Active	Non Resident	Agent	Life	10/23/2001	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/4/2011	3/31/2027
* 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	AXA XL Insurance Company Americas	300979	Agent - Health	2/1/2018	9/12/2022
Active	AXIS Insurance Company	301290	Agent - Casualty	2/26/2025
Active	AXIS Insurance Company	301290	Agent - Health	1/7/2020
Active	AXIS Insurance Company	301290	Agent - Property	2/26/2025
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/26/2012	4/8/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/26/2012	4/8/2020
Active	Arch Insurance Company	300688	Agent - Health	3/4/2025
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	11/16/2007	11/23/2009
Inactive	Berkley Life and Health Insurance Company	301421	Agent - Health	12/28/2015	3/18/2019
Active	Companion Life Insurance Company	300191	Agent - Health	2/4/2020
Active	Companion Life Insurance Company	300191	Agent - Life	2/4/2020
Inactive	Fairmont Premier Insurance Company	300892	Agent - Casualty	12/7/2004	9/26/2006
Inactive	Fairmont Premier Insurance Company	300892	Agent - Health	4/8/2005	9/26/2006
Inactive	Fairmont Premier Insurance Company	300892	Agent - Property	12/7/2004	9/26/2006
Active	Nationwide Life Insurance Company	300495	Agent - Health	10/9/2003
Active	Nationwide Life Insurance Company	300495	Agent - Life	10/9/2003
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/15/2025
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	5/15/2025
Active	North River Insurance Company (The)	301739	Agent - Casualty	4/28/2006
Active	North River Insurance Company (The)	301739	Agent - Health	4/28/2006
Active	North River Insurance Company (The)	301739	Agent - Property	4/28/2006
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	10/23/2001
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	10/23/2001
Inactive	StarNet Insurance Company	502746	Agent - Health	12/28/2015	3/18/2019
Inactive	TIG Insurance Company	301750	Agent - Casualty	1/11/2002	8/19/2005
Inactive	TIG Insurance Company	301750	Agent - Property	1/11/2002	8/19/2005
Active	United States Fire Insurance Company	582240	Agent - Casualty	4/28/2006
Active	United States Fire Insurance Company	582240	Agent - Health	4/28/2006
Active	United States Fire Insurance Company	582240	Agent - Property	4/28/2006
Active	Virginia Surety Company, Inc.	301022	Agent - Casualty	11/27/2001
Active	Virginia Surety Company, Inc.	301022	Agent - Health	3/1/2004
Active	Virginia Surety Company, Inc.	301022	Agent - Property	11/27/2001

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Leys, Kevin H	536253	Agent - Casualty	11/27/2001
Active	Leys, Kevin H	536253	Agent - Health	10/23/2001
Active	Leys, Kevin H	536253	Agent - Life	10/23/2001
Active	Leys, Kevin H	536253	Agent - Property	11/27/2001
Active	Leys, Kevin H	536253	Surplus Lines Broker - Not Applicable	3/4/2011