DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ali, Fadilah	DOIID	1105895	NAIC NPN	19671101

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/18/2020		2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	1/21/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/3/2020	12/12/2024
Active	Humana Insurance Company	301104	Agent - Health	2/16/2021
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/20/2021	12/12/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/16/2021	12/13/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	1/15/2025	2/13/2025
Inactive	Trubridge Inc	717747	Agent - Health	6/17/2023	1/15/2025