DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Khan, Reza D	DOIID	792964	NAIC NPN	232691

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/15/2022		3/31/2025
Active	Non Resident	Agent	Property	3/15/2022		3/31/2025
Active	Non Resident	Agent	Personal Lines	3/15/2022		3/31/2025
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/28/2012	3/31/2021
* 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	Illinois National Insurance Company	301367	Agent - Casualty	8/7/2014	3/31/2021
Inactive	Illinois National Insurance Company	301367	Agent - Property	8/7/2014	3/31/2021
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/7/2014	3/31/2021
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/7/2014	3/31/2021
Active	Vault Reciprocal Exchange	1040481	Agent - Casualty	1/9/2024
Active	Vault Reciprocal Exchange	1040481	Agent - Property	1/9/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Combination Specialty Underwriters LLC	1210721	Agent - Property	6/14/2022
Active	Combination Specialty Underwriters LLC	1210721	Agent - Casualty	6/14/2022
Inactive	Rsg Underwriting Managers LLC	621659	Agent - Property	8/7/2014	10/11/2020
Inactive	Rsg Underwriting Managers LLC	621659	Agent - Casualty	8/7/2014	10/11/2020
Inactive	Rsg Underwriting Managers LLC	621659	Surplus Lines Broker - Not Applicable	11/5/2013	3/31/2021