DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shariff, Mazkoor	DOIID	713162	NAIC NPN	14840840

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/10/2009	2/28/2013
Inactive	Non Resident	Agent	Casualty	6/8/2011	2/28/2013
Inactive	Non Resident	Agent	Property	6/8/2011	2/28/2013
* 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	AMEX Assurance Company	301728	Agent - Casualty	6/20/2011	1/12/2012
Inactive	AMEX Assurance Company	301728	Agent - Health	6/20/2011	1/12/2012
Inactive	AMEX Assurance Company	301728	Agent - Property	6/20/2011	1/12/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/30/2009	3/26/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/23/2009	3/26/2010
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/23/2009	2/28/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/23/2009	3/26/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	APAC Customer Services Inc	505425	Agent - Health	6/15/2011	1/12/2012
Inactive	APAC Customer Services Inc	505425	Agent - Property	6/20/2011	1/12/2012
Inactive	APAC Customer Services Inc	505425	Agent - Casualty	6/20/2011	1/12/2012