DEPARTMENT OF INSURANCE

Affiliations

Name	Pourparviz, Shirin	DOIID	331936	NAIC NPN	480133

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	7/9/2001	7/31/2025
Active	Non Resident	Agent	Life	7/9/2001	7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	11/20/2002	4/16/2008
Inactive	American General Assurance Company	300586	Agent - Health	11/25/2002	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	11/25/2002	12/31/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	4/23/2007	4/24/2017
Inactive	American General Life Insurance Company	301585	Agent - Life	4/23/2007	4/24/2017
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	4/23/2007	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	4/23/2007	12/31/2012
Inactive	Combined Insurance Company of America	301472	Agent - Health	7/9/2001	12/5/2006
Inactive	Combined Insurance Company of America	301472	Agent - Life	7/9/2001	12/5/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/23/2002	11/16/2011
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	12/16/1996	2/17/1998
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	12/16/1996	2/17/1998
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/17/2012	5/4/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/17/2012	5/4/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/18/2021	7/24/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/18/2021	7/24/2024
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	5/1/2009	6/5/2015
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	5/1/2009	6/5/2015
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/27/2020	8/17/2023
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	8/23/2002	7/24/2009
Active	Transamerica Life Insurance Company	300571	Agent - Health	9/14/2021
Active	Transamerica Life Insurance Company	300571	Agent - Life	9/14/2021
Active	Trustmark Insurance Company	300317	Agent - Health	8/10/2014
Active	Trustmark Insurance Company	300317	Agent - Life	8/10/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/18/2021	7/24/2024
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/18/2021	7/24/2024
Inactive	Unum Insurance Company	301499	Agent - Health	10/27/2020	8/17/2023
Inactive	Unum Insurance Company	301499	Agent - Life	10/27/2020	8/17/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Optavise, LLC	671337	Agent - Life	10/12/2018
Active	Optavise, LLC	671337	Agent - Health	10/12/2018
Inactive	Willis Of Illinois Inc	398318	Agent - Life	6/8/2012	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Health	6/8/2012	1/7/2020