DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Khalil Shkukani, Kalyn Laila	DOIID	1088035	NAIC NPN	18967037

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/2/2020	3/31/2022
* 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	AXIS Insurance Company	301290	Agent - Health	1/20/2021	3/31/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/5/2021	3/31/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/15/2020	4/5/2022
Inactive	United States Fire Insurance Company	582240	Agent - Health	1/22/2021	3/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	2/12/2021	3/31/2022