DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mohseni, Bijan	DOIID	815073	NAIC NPN	2557230

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/19/2013	1/31/2020
Inactive	Non Resident	Agent	Health	9/28/2013	1/31/2020
* 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	Banner Life Insurance Company	301696	Agent - Life	8/21/2015	1/31/2020
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	10/1/2013	8/31/2015
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	7/22/2013	8/31/2015
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Health	10/1/2013	8/31/2015
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	7/22/2013	8/31/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/20/2015	6/22/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/20/2015	6/22/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Raymond James Insurance Group, Inc.	398342	Agent - Life	8/19/2015	1/31/2020
Inactive	Raymond James Insurance Group, Inc.	398342	Agent - Health	8/19/2015	6/22/2016