DEPARTMENT OF INSURANCE
Affiliations
NameSupreme Health Group IncDOIID1133079NAIC NPN18791549
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth5/5/2021 3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFishman, Blake 988425Agent - Health5/5/202110/10/2022
ActiveZubair, Abul 1020001Agent - Health10/10/2022 

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