DEPARTMENT OF INSURANCE

Affiliations

Name	Ismail, Samir	DOIID	1046386	NAIC NPN	18532307

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	7/3/2019	3/31/2025
Pending Replacement	Non Resident	Agent	Health	7/3/2019	3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Pending Replacement	Accendo Insurance Company	300312	Agent - Life	6/1/2023
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	9/30/2019
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	6/8/2020
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	9/30/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	6/8/2020	8/11/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/11/2019	10/22/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/11/2019	10/22/2021
Inactive	CMFG Life Insurance Company	300929	Agent - Health	7/11/2019	8/21/2019
Inactive	CMFG Life Insurance Company	300929	Agent - Life	7/11/2019	8/21/2019
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	2/17/2025
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/8/2020
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/10/2021
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	9/30/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/29/2019	2/17/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/29/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/29/2019	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/29/2019	2/17/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/16/2019	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/16/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/27/2023	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	5/15/2024
Inactive	Sutherland Global Services Inc	601788	Agent - Life	7/23/2019	8/21/2019
Inactive	Sutherland Global Services Inc	601788	Agent - Health	7/23/2019	8/21/2019