Individual Information

MICHAEL N LEB

Address:

FOND DU LAC, WI 54935-4215

Status:

Active

Email:

mleb@lebinsurancegroup.com

Date:

01/07/2019

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3406148	01/07/2019	Active	01/07/2019	01/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	01/07/2019	Active	01/07/2019
Life	01/07/2019	Active	01/07/2019

Company Name	Appointment Type	Status	Active Date
156464
IMPERIAL INSURANCE COMPANIES INC	Health	Active	08/07/2025
459
Company Name	Appointment Type	Status	Active Date
NATIONWIDE LIFE INSURANCE COMPANY	Health	Active	08/06/2020
	Life	Active	08/06/2020
523
Company Name	Appointment Type	Status	Active Date
PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY	Health	Active	11/08/2019
	Life	Active	11/08/2019
790
Company Name	Appointment Type	Status	Active Date
STANDARD LIFE & ACCIDENT INSURANCE COMPANY	Health	Active	02/21/2024

row(s) 1 - 6 of 6

Organization	Association Type	Type	Beg dte	End dte
LEB INSURANCE GROUP LLC	Designated Resp Lic Prdcr	Agency	07/07/2021	-
UNIQUE INSURANCE CONCEPTS LLC	Designated Resp Lic Prdcr	Agency	02/15/2021	-

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