DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tabrizizadeh, Jeffrey	DOIID	1087647	NAIC NPN	19255502

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/29/2020		5/31/2027
Active	Non Resident	Agent	Health	6/29/2020		5/31/2027
* 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	03/15/2025	05/31/2025	06/01/2025	06/01/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	10/21/2021
Active	American General Life Insurance Company	301585	Agent - Health	6/12/2024
Active	American General Life Insurance Company	301585	Agent - Life	6/12/2024
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	7/9/2024	4/15/2025
Inactive	Federal Life Insurance Company	300945	Agent - Health	5/8/2023	9/5/2023
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	6/20/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	7/6/2020	1/19/2021
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	7/6/2020	1/19/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	9/11/2024
Active	Golden Rule Insurance Company	301943	Agent - Life	9/11/2024
Active	National Health Insurance Company	300554	Agent - Health	11/14/2023
Active	National Health Insurance Company	300554	Agent - Life	11/14/2023
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	11/12/2021	9/27/2022
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	11/12/2021	9/27/2022
Active	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	6/19/2024
Inactive	Unified Life Insurance Company	543169	Agent - Health	5/15/2023	1/29/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	7/6/2020	1/19/2021
Inactive	Ushealth Advisors Llc	713288	Agent - Health	7/6/2020	1/19/2021