DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Alam, Mohammed Mat	DOIID	818390	NAIC NPN	10653164

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/23/2013	8/31/2018
Inactive	Non Resident	Agent	Health	8/23/2013	8/31/2018
* 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 Life Insurance Company	301209	Agent - Health	10/1/2013	8/31/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/1/2013	8/31/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/21/2013	3/1/2016
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	10/21/2013	3/1/2016
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/21/2013	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	10/21/2013	6/11/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/9/2013	6/18/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	2/25/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/22/2013	2/25/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/22/2013	2/25/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/22/2013	2/25/2015
Inactive	Humana Insurance Company	301104	Agent - Life	10/22/2013	2/25/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/22/2013	2/25/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/22/2013	2/25/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	2/25/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/8/2016	10/12/2016
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/9/2016	10/12/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/8/2016	10/12/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/8/2016	10/12/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/1/2013	8/31/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/1/2013	8/31/2018