DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mehdy, Syed Ejaz	DOIID	903886	NAIC NPN	8734706

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/13/2016	7/31/2019
Inactive	Non Resident	Agent	Property	1/13/2016	7/31/2019
Inactive	Non Resident	Agent	Health	4/12/2017	7/31/2019
Inactive	Non Resident	Agent	Life	4/12/2017	7/31/2019
* 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	AXIS Insurance Company	301290	Agent - Health	3/15/2018	7/31/2019
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/19/2017	8/27/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	1/19/2016	2/16/2016
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	1/19/2016	2/16/2016
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/19/2019	7/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Futurity First Insurance Group LLC	676947	Agent - Property
Denied	Futurity First Insurance Group LLC	676947	Agent - Casualty
Denied	Futurity First Insurance Group LLC	676947	Agent - Life
Inactive	Futurity First Insurance Group LLC	676947	Agent - Health	9/11/2018	7/31/2019
Denied	Health Plan Intermediaries Holdings	786463	Agent - Life
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/23/2018	3/26/2019
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	1/26/2016	2/16/2016
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	1/26/2016	2/16/2016
Denied	Sutherland Global Services Inc	601788	Agent - Property
Denied	Sutherland Global Services Inc	601788	Agent - Casualty
Denied	Sutherland Global Services Inc	601788	Agent - Life
Inactive	Sutherland Global Services Inc	601788	Agent - Health	11/21/2017	7/31/2019