Individual Information

SARA ESBEIDY DIAZ URIOSTEGUI

LAS VEGAS, NV 89131-8225

Active

legacyinsurancelv@gmail.com

08/19/2014

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	972732	08/19/2014	Active	08/19/2014	08/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	08/19/2014	Active	08/19/2014
Health	02/29/2016	Active	02/29/2016
Life	02/29/2016	Active	02/29/2016
Personal Lines	08/19/2014	Active	08/19/2014
Property	08/19/2014	Active	08/19/2014

Company Name	Appointment Type	Status	Active Date
1639
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	11/02/2017
13982
Company Name	Appointment Type	Status	Active Date
MENDAKOTA INSURANCE COMPANY	Casualty	Active	10/30/2017
	Property	Active	10/30/2017
1160
Company Name	Appointment Type	Status	Active Date
PENN INSURANCE AND ANNUITY COMPANY	Life	Active	12/06/2019
519
Company Name	Appointment Type	Status	Active Date
PENN MUTUAL LIFE INSURANCE COMPANY	Life	Active	12/06/2019
14475
Company Name	Appointment Type	Status	Active Date
PRIMERO INSURANCE COMPANY	Casualty	Active	10/06/2023
	Personal Lines	Active	10/06/2023
	Property	Active	10/06/2023
1302
Company Name	Appointment Type	Status	Active Date
PROGRESSIVE NORTHERN INSURANCE COMPANY	Casualty	Active	11/01/2019
	Property	Active	11/01/2019
159486
Company Name	Appointment Type	Status	Active Date
TYPTAP INSURANCE COMPANY	Casualty	Active	10/20/2021
	Personal Lines	Active	10/21/2021
	Property	Active	10/20/2021
1261
Company Name	Appointment Type	Status	Active Date
UNITED FINANCIAL CASUALTY COMPANY	Casualty	Active	11/01/2019
	Property	Active	11/01/2019

row(s) 1 - 15 of 15

Organization	Association Type	Type	Beg dte	End dte
LEGACY INSURANCE LLC	Designated Resp Lic Prdcr	Agency	11/19/2020	-

1 - 1