DEPARTMENT OF INSURANCE

Affiliations

Name	Khaled, Oussama Mohamad	DOIID	651932	NAIC NPN	9127338

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/29/2021	7/31/2024
Inactive	Non Resident	Agent	Casualty	3/29/2021	7/31/2024
Active	Non Resident	Staff Adjuster	Property & Casualty	3/27/2023		7/31/2026
* 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
Staff Adjuster	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	10/26/2011	10/16/2016
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	10/26/2011	10/16/2016
Inactive	LM General Insurance Company	300133	Agent - Casualty	10/26/2011	2/19/2019
Inactive	LM General Insurance Company	300133	Agent - Property	10/26/2011	2/19/2019
Inactive	LM Insurance Corporation	301061	Agent - Casualty	10/26/2011	10/1/2018
Inactive	LM Insurance Corporation	301061	Agent - Property	10/26/2011	10/1/2018
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	10/26/2011	2/19/2019
Inactive	Liberty Insurance Corporation	300444	Agent - Property	10/26/2011	2/19/2019
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	10/26/2011	10/14/2016
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	10/26/2011	10/14/2016
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	10/26/2011	10/15/2016
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	10/26/2011	10/15/2016
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	5/4/2021	1/13/2023
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Property	5/4/2021	1/13/2023
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	12/21/2022	1/13/2023
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	12/21/2022	1/13/2023
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	3/30/2007	11/12/2007
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	3/30/2007	11/12/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	3/30/2007	11/12/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	3/30/2007	11/12/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	7/31/2007	11/12/2007
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	7/31/2007	11/12/2007