DEPARTMENT OF INSURANCE

Affiliations

Name	Safa, Osama E	DOIID	760101	NAIC NPN	16304923

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/14/2016	9/30/2017
Inactive	Non Resident	Agent	Health	9/14/2016	9/30/2017
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	9/23/2016	9/30/2017
Inactive	Aetna Health Insurance Company	301583	Agent - Health	10/10/2014	7/20/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/23/2016	9/30/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/23/2016	11/4/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/26/2014	7/20/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/5/2016	2/8/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/23/2016	9/30/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/5/2016	2/8/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/5/2016	2/8/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/5/2016	2/8/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/5/2016	2/8/2017
Inactive	Humana Insurance Company	301104	Agent - Life	10/5/2016	2/8/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/5/2016	2/8/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/5/2016	2/8/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/5/2016	2/8/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/13/2016	2/8/2017
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/16/2011	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/26/2014	7/20/2015
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	10/14/2014	7/20/2015
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/27/2015	6/25/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/27/2016	2/3/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/27/2016	2/3/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/9/2014	6/9/2015
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/27/2016	2/3/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carezone Financial Services LLC	897339	Agent - Health	3/3/2017	3/10/2017
Denied	Carezone Financial Services LLC	897339	Agent - Life
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/30/2016	11/3/2017
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	10/19/2011	9/20/2013