Agency Information

MERIDIAN MANAGEMENT GROUP LLC

411 HACKENSACK AVE STE 903

HACKENSACK, NJ 07601

201-261-8525

legal@one80intermediaries.com

3399666

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	502621	09/05/2006	Active	09/05/2006	09/30/2024

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/05/2006	Active	09/05/2006
Health	09/05/2006	Active	09/05/2006
Life	09/05/2006	Active	09/05/2006
Property	09/05/2006	Active	09/05/2006

Company Name	Appointment Type	Status	Active Date
1163
AXIS INSURANCE COMPANY	Health	Active	01/07/2020
920
Company Name	Appointment Type	Status	Active Date
COMPANION LIFE INSURANCE COMPANY	Health	Active	09/23/2014
459
Company Name	Appointment Type	Status	Active Date
NATIONWIDE LIFE INSURANCE COMPANY	Health	Active	05/07/2012
	Life	Active	05/07/2012
461
Company Name	Appointment Type	Status	Active Date
NATIONWIDE MUTUAL INSURANCE COMPANY	Casualty	Active	05/07/2012
	Property	Active	05/07/2012
632
Company Name	Appointment Type	Status	Active Date
NORTH RIVER INSURANCE COMPANY (THE)	Casualty	Active	06/04/2007
	Health	Active	06/04/2007
	Property	Active	06/04/2007
564
Company Name	Appointment Type	Status	Active Date
RELIANCE STANDARD LIFE INSURANCE COMPANY	Health	Active	03/17/2007
	Life	Active	03/17/2007
692
Company Name	Appointment Type	Status	Active Date
UNITED STATES FIRE INSURANCE COMPANY	Casualty	Active	06/04/2007
	Health	Active	06/04/2007
	Property	Active	06/04/2007
709
Company Name	Appointment Type	Status	Active Date
VIRGINIA SURETY COMPANY INC	Casualty	Active	02/22/2007
	Property	Active	02/22/2007

row(s) 1 - 16 of 16

Name	Association Type	Agent	Begin Date	End Date
KEVIN HOYLE LEYS	Designated Resp Lic Prdcr	Yes	06/16/2020	-

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