DEPARTMENT OF INSURANCE

Affiliations

Name	Makarem, Mohamed	DOIID	788158	NAIC NPN	238173

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/10/2012	12/31/2017
Inactive	Non Resident	Agent	Life	8/10/2012	12/31/2017
* 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	9/25/2017	12/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/25/2017	12/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/25/2017	12/31/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/30/2013	5/1/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/30/2013	5/1/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/25/2017	12/31/2017
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	3/4/2013	1/4/2017
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	3/4/2013	1/4/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	5/4/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/30/2013	5/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/30/2013	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Health	12/30/2013	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Life	12/30/2013	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/30/2013	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/30/2013	5/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/30/2013	5/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/30/2013	5/1/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/4/2013	10/22/2014
Inactive	Omaha Insurance Company	751908	Agent - Health	8/27/2012	7/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/27/2012	2/24/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/27/2012	2/24/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	GoldenCare USA, LLC	398142	Agent - Life	11/3/2016	1/4/2017
Inactive	GoldenCare USA, LLC	398142	Agent - Health	11/3/2016	1/4/2017
Inactive	National Independent Brokers, LLC	502029	Agent - Life	11/3/2016	1/4/2017
Inactive	National Independent Brokers, LLC	502029	Agent - Health	11/3/2016	1/4/2017