DEPARTMENT OF INSURANCE

Affiliations

Name	Maza, Nissan S	DOIID	1197125	NAIC NPN	9049572

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	4/4/2022	3/31/2025
Pending Replacement	Non Resident	Agent	Health	4/4/2022	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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	7/13/2023	11/17/2023
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	4/8/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/21/2023	5/7/2024
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/8/2022
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	4/8/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/24/2023	1/3/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/24/2023	1/3/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/24/2023	1/3/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/24/2023	1/3/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/24/2023	1/3/2024
Pending Replacement	CIGNA Health & Life Insurance Company	301783	Agent - Health	7/28/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/3/2023	1/8/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	9/13/2023	1/2/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/13/2023	1/2/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/24/2023	1/3/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/21/2023	5/7/2024
Pending Replacement	Guardian Life Insurance Company of America	301316	Agent - Health	11/1/2023
Pending Replacement	Guardian Life Insurance Company of America	301316	Agent - Life	11/1/2023
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	11/30/2023	1/22/2024
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	4/18/2022	3/30/2023
Inactive	Monitor Life Insurance Company of New York	1117550	Agent - Health	8/20/2023	12/27/2023
Inactive	Monitor Life Insurance Company of New York	1117550	Agent - Life	8/20/2023	12/27/2023
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	4/8/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/3/2023	1/8/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/3/2023	1/8/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/23/2023	1/23/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	7/24/2023	2/1/2024
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	8/3/2023	2/1/2024