DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Leavelle, Adam Patrick	DOIID	935424	NAIC NPN	17641087

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/1/2016	12/31/2019
Inactive	Non Resident	Agent	Life	11/1/2016	12/31/2019
* 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 General Life Insurance Company	301585	Agent - Health	12/22/2016	12/23/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	12/22/2016	12/23/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/21/2016	1/7/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/21/2016	1/7/2020
Inactive	Independence American Insurance Company	524747	Agent - Health	6/30/2017	12/31/2019
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	4/24/2017	12/31/2019

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 - Life	5/11/2018	12/31/2019
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	5/11/2018	12/31/2019