DEPARTMENT OF INSURANCE

Affiliations

Name	Leys, Kevin H	DOIID	536253	NAIC NPN	1313314

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	9/22/2020	6/30/2027
Active	Non Resident	Agent	Health	9/21/2001	6/30/2027
Active	Non Resident	Agent	Casualty	11/27/2001	6/30/2027
Active	Non Resident	Agent	Life	9/21/2001	6/30/2027
Active	Non Resident	Agent	Property	11/27/2001	6/30/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/5/2011	6/30/2027
* 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
Administrator	04/15/2025	06/30/2025	04/25/2025	04/25/2025	Yes
Agent	04/15/2025	06/30/2025	05/01/2025	05/01/2025	Yes
Surplus Lines Broker	04/15/2025	06/30/2025	05/01/2025	05/01/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AXIS Insurance Company	301290	Agent - Casualty	2/7/2025
Active	AXIS Insurance Company	301290	Agent - Health	1/10/2020
Active	AXIS Insurance Company	301290	Agent - Property	2/7/2025
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/26/2012	5/31/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/26/2012	5/31/2019
Inactive	Berkley Life and Health Insurance Company	301421	Agent - Health	12/28/2015	3/18/2019
Active	Companion Life Insurance Company	300191	Agent - Health	11/18/2010
Active	Companion Life Insurance Company	300191	Agent - Life	11/18/2010
Inactive	Fairmont Premier Insurance Company	300892	Agent - Casualty	10/6/2004	12/21/2006
Inactive	Fairmont Premier Insurance Company	300892	Agent - Health	10/6/2004	12/21/2006
Inactive	Fairmont Premier Insurance Company	300892	Agent - Property	10/6/2004	12/21/2006
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	11/4/2005
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	11/4/2005
Active	North River Insurance Company (The)	301739	Agent - Casualty	10/18/2006
Active	North River Insurance Company (The)	301739	Agent - Health	10/18/2006
Active	North River Insurance Company (The)	301739	Agent - Property	10/18/2006
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	9/21/2001	1/22/2015
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	9/21/2001	1/22/2015
Inactive	TIG Insurance Company	301750	Agent - Casualty	1/8/2002	8/19/2005
Inactive	TIG Insurance Company	301750	Agent - Property	1/8/2002	8/19/2005
Active	United States Fire Insurance Company	582240	Agent - Casualty	10/18/2006
Active	United States Fire Insurance Company	582240	Agent - Health	10/18/2006
Active	United States Fire Insurance Company	582240	Agent - Property	10/18/2006
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 to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Co-Ordinated Benefit Plans Llc	397781	Agent - Life	1/2/2013
Active	Co-Ordinated Benefit Plans Llc	397781	Agent - Health	1/2/2013
Active	Co-Ordinated Benefit Plans Llc	397781	Agent - Property	1/4/2013
Active	Co-Ordinated Benefit Plans Llc	397781	Agent - Casualty	1/4/2013
Active	Co-Ordinated Benefit Plans Llc	397781	Administrator - Not Applicable	9/24/2020
Active	Equinox Management Group, Inc.	536058	Agent - Life	11/27/2001
Active	Equinox Management Group, Inc.	536058	Agent - Health	11/27/2001
Active	Equinox Management Group, Inc.	536058	Agent - Property	11/27/2001
Active	Equinox Management Group, Inc.	536058	Agent - Casualty	11/27/2001
Active	Meridian Management Group LLC	536060	Agent - Life	10/23/2001
Active	Meridian Management Group LLC	536060	Agent - Health	10/23/2001
Active	Meridian Management Group LLC	536060	Agent - Property	11/27/2001
Active	Meridian Management Group LLC	536060	Agent - Casualty	11/27/2001
Active	Meridian Management Group LLC	536060	Surplus Lines Broker - Not Applicable	3/4/2011