DEPARTMENT OF INSURANCE

Affiliations

Name	Supreme Health Group Inc	DOIID	1133079	NAIC NPN	18791549

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/5/2021		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fishman, Blake	988425	Agent - Health	5/5/2021	10/10/2022
Active	Zubair, Abul	1020001	Agent - Health	10/10/2022