DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shabazz, Bilal	DOIID	793155	NAIC NPN	16239621

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/16/2014	5/31/2017
Inactive	Non Resident	Agent	Health	10/1/2012	5/31/2017
Inactive	Non Resident	Independent Adjuster	Crop	10/6/2017	4/18/2018
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	10/6/2017	4/18/2018
Inactive	Non Resident	Independent Adjuster	Property & Casualty	10/6/2017	4/18/2018
Inactive	Non Resident	Staff Adjuster	Property & Casualty	4/23/2018	5/31/2021
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/15/2014	9/1/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/4/2013	12/10/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/4/2013	12/10/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Customer Care, Inc.	800938	Agent - Health	1/15/2014	4/11/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/15/2014	9/1/2015