DEPARTMENT OF INSURANCE

Affiliations

Name	Camaj, Simon	DOIID	377861	NAIC NPN	989821

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	7/9/2024	8/31/2025
Active	Non Resident	Agent	Health	1/30/2015	8/31/2025
Active	Non Resident	Agent	Property	8/1/2019	8/31/2025
Active	Non Resident	Agent	Casualty	8/1/2019	8/31/2025
Active	Non Resident	Agent	Life	1/30/2015	8/31/2025
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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
Administrator	06/15/2025	08/31/2025
Agent	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	4 Ever Life Insurance Company	301307	Agent - Health	8/23/2022
Active	4 Ever Life Insurance Company	301307	Agent - Life	8/23/2022
Active	ARAG Insurance Company	549389	Agent - Casualty	7/1/2022
Active	All Savers Insurance Company	301940	Agent - Health	11/6/2023
Active	All Savers Insurance Company	301940	Agent - Life	11/6/2023
Active	American Heritage Life Insurance Company	300272	Agent - Health	6/27/2022
Active	American Heritage Life Insurance Company	300272	Agent - Life	6/27/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/18/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/18/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/18/2024	4/15/2025
Active	BCS Insurance Company	300294	Agent - Casualty	8/23/2022
Active	BCS Insurance Company	300294	Agent - Health	8/23/2022
Active	BCS Insurance Company	300294	Agent - Property	8/23/2022
Active	Beazley Insurance Company, Inc.	300899	Agent - Health	6/15/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/18/2024
Active	Continental American Insurance Company	301700	Agent - Health	3/9/2023
Active	Continental American Insurance Company	301700	Agent - Life	3/9/2023
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	12/22/2023
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	12/22/2023
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	7/22/2022
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	7/22/2022
Active	Globe Life and Accident Insurance Company	300639	Agent - Health	6/23/2023
Active	Globe Life and Accident Insurance Company	300639	Agent - Life	6/23/2023
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	10/9/2019
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	10/9/2019
Active	Independence American Insurance Company	524747	Agent - Casualty	6/12/2023
Active	Independence American Insurance Company	524747	Agent - Property	6/12/2023
Active	LM General Insurance Company	300133	Agent - Casualty	7/22/2022
Active	LM General Insurance Company	300133	Agent - Property	7/22/2022
Active	LM Insurance Corporation	301061	Agent - Casualty	7/22/2022
Active	LM Insurance Corporation	301061	Agent - Property	7/22/2022
Active	Liberty Insurance Corporation	300444	Agent - Casualty	7/22/2022
Active	Liberty Insurance Corporation	300444	Agent - Property	7/22/2022
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	7/22/2022
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	7/22/2022
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	7/22/2022
Active	Liberty Mutual Insurance Company	301159	Agent - Property	7/22/2022
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	7/22/2022
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Property	7/22/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	10/11/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	10/11/2023
Active	Metropolitan Life Insurance Company	301948	Agent - Health	1/27/2023
Active	Metropolitan Life Insurance Company	301948	Agent - Life	1/27/2023
Active	Minnesota Life Insurance Company	300488	Agent - Health	9/20/2019
Active	Minnesota Life Insurance Company	300488	Agent - Life	9/20/2019
Active	Nationwide Life Insurance Company	300495	Agent - Health	11/1/2024
Active	Nationwide Life Insurance Company	300495	Agent - Life	11/1/2024
Active	Professional Solutions Insurance Company	569414	Agent - Casualty	12/14/2022
Active	Professional Solutions Insurance Company	569414	Agent - Property	12/14/2022
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	9/15/2019
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	9/15/2019
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	8/3/2022	10/30/2023
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	8/3/2022	10/30/2023
Active	Securian Life Insurance Company	300757	Agent - Health	9/20/2019
Active	Securian Life Insurance Company	300757	Agent - Life	9/20/2019
Active	Symetra Life Insurance Company	301691	Agent - Health	7/12/2022
Active	Symetra Life Insurance Company	301691	Agent - Life	7/12/2022
Active	Transamerica Life Insurance Company	300571	Agent - Health	6/29/2022
Active	Transamerica Life Insurance Company	300571	Agent - Life	6/29/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	11/6/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	11/6/2023
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/6/2023
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/6/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Broadspire Services, Inc.	396187	Administrator - Not Applicable	11/24/1999	8/31/2005
Active	Mercer (US) LLC	595151	Agent - Health	6/20/2022
Active	Mercer (US) LLC	595151	Agent - Life	6/20/2022
Active	Mercer Health & Benefits Administration LLC	656414	Administrator - Not Applicable	7/18/2024
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Health	7/7/2022
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Life	7/7/2022
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Casualty	7/7/2022
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Property	7/22/2022
Active	Mercer Health & Benefits LLC	607080	Agent - Health	6/1/2022
Active	Mercer Health & Benefits LLC	607080	Agent - Life	6/1/2022
Active	Mercer Health & Benefits LLC	607080	Agent - Casualty	7/1/2022
Active	Mercer Health & Benefits LLC	607080	Agent - Property	7/22/2022