DEPARTMENT OF INSURANCE

Affiliations

Name	Raval, Sanjay Harshadray	DOIID	564218	NAIC NPN	7526550

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	7/30/2015	2/28/2027
Active	Non Resident	Agent	Property	11/4/2005	2/28/2027
Active	Non Resident	Agent	Casualty	11/4/2005	2/28/2027
* 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
Agent	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	6/30/2021
Active	American Modern Home Insurance Company	300791	Agent - Property	6/30/2021
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	3/5/2018	11/12/2019
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	3/5/2018	11/12/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/10/2015	10/12/2017
Active	Homesite Insurance Company	301139	Agent - Casualty	4/1/2021
Active	Homesite Insurance Company	301139	Agent - Property	4/1/2021
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	4/1/2021
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	4/1/2021
Inactive	LM General Insurance Company	300133	Agent - Casualty	3/19/2010	11/12/2019
Inactive	LM General Insurance Company	300133	Agent - Property	3/19/2010	11/12/2019
Inactive	LM Insurance Corporation	301061	Agent - Casualty	3/19/2010	11/12/2019
Inactive	LM Insurance Corporation	301061	Agent - Property	3/19/2010	11/12/2019
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	11/23/2005	11/12/2019
Inactive	Liberty Insurance Corporation	300444	Agent - Property	11/23/2005	11/12/2019
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	3/5/2018	11/12/2019
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	3/5/2018	11/12/2019
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/5/2018	11/12/2019
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	3/5/2018	11/12/2019
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	8/6/2018	11/12/2019
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Property	8/6/2018	11/12/2019
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/10/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/10/2015	2/14/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Helmsman Insurance Agency Llc	572054	Agent - Casualty	7/23/2018	1/30/2019
Inactive	Helmsman Insurance Agency Llc	572054	Agent - Property	7/23/2018	1/30/2019
Denied	Helmsman Insurance Agency Llc	572054	Agent - Health