DEPARTMENT OF INSURANCE

Affiliations

Name	Shahmirzadi, Dara	DOIID	1046819	NAIC NPN	19216936

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/9/2019	11/8/2021
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/8/2021
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/27/2019	11/8/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	2/11/2020	11/8/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/20/2020	11/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/27/2019	11/8/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/31/2019	10/26/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/31/2019	11/8/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/17/2019	2/25/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/10/2020	11/8/2021
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	7/22/2020	9/10/2021
Inactive	Humana Insurance Company	301104	Agent - Health	12/30/2020	10/22/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/22/2020	9/10/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/27/2019	11/8/2021
Inactive	United World Life Insurance Company	300532	Agent - Health	7/22/2020	9/10/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/22/2020	9/10/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/31/2019	3/30/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/31/2019	3/30/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/31/2019	3/30/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/31/2019	3/30/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/25/2019	11/8/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/25/2019	11/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Qw Insurance Solutions, LLC	1047634	Agent - Health	7/7/2020	7/26/2021