DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Leyva Jr, Jose Israel	DOIID	671116	NAIC NPN	8957248

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/28/2007		9/30/2026
Active	Non Resident	Agent	Life	12/28/2007		9/30/2026
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	3/15/2012	12/10/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/10/2013	5/28/2015
Inactive	HCC Life Insurance Company	301827	Agent - Health	11/23/2016	6/12/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/12/2012	5/20/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/10/2013	5/28/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/7/2011	5/20/2014
Inactive	Humana Insurance Company	301104	Agent - Life	10/7/2011	5/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/15/2012	5/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/15/2012	5/20/2014
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	8/20/2008
Inactive	Security Life Insurance Company of America	300936	Agent - Health	4/6/2010	1/2/2013
Inactive	Security Life Insurance Company of America	300936	Agent - Life	4/6/2010	1/2/2013
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	12/15/2014
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	1/25/2012	9/6/2016

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	11/12/2019	4/22/2022