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.

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