DEPARTMENT OF INSURANCE

Affiliations

Name	Hussein, Haitham Tony	DOIID	1112559	NAIC NPN	19394003

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/2/2020		6/30/2027
* 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	04/15/2025	06/30/2025	04/04/2025	04/04/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	1/31/2022	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/7/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/2/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/7/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	7/7/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	8/26/2024	8/28/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/8/2024	12/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	5/6/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/8/2024	12/16/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	4/7/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	6/25/2021	9/20/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/8/2024	12/16/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/2/2021
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/1/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/13/2023	5/16/2024
Inactive	Humana Insurance Company	301104	Agent - Health	8/18/2023	5/16/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	5/25/2024
Active	SilverScript Insurance Company	663526	Agent - Health	7/7/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/14/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/14/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/14/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/14/2021
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/15/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/22/2023	5/15/2024