DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Abushanab, Mackenzie	DOIID	1048730	NAIC NPN	19231783

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/29/2023		1/31/2025
Active	Non Resident	Agent	Health	6/29/2023		1/31/2025
Inactive	Non Resident	Staff Adjuster	Property & Casualty	7/25/2019	1/31/2021
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/29/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/29/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	6/29/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	6/29/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Paychex Insurance Agency Inc	509469	Agent - Life	6/29/2023
Active	Paychex Insurance Agency Inc	509469	Agent - Health	6/29/2023