DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gray, Bashir	DOIID	930082	NAIC NPN	18048245

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/19/2021		12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/11/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/11/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	11/11/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/27/2016	12/22/2016
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/8/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/27/2016	12/22/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/27/2016	12/22/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/27/2016	12/22/2016
Inactive	Humana Insurance Company	301104	Agent - Health	9/27/2016	12/22/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/27/2016	12/22/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/27/2016	12/22/2016
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	12/22/2016
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	7/3/2025
Active	SilverScript Insurance Company	663526	Agent - Health	11/11/2021
Active	Tier One Insurance Company	301056	Agent - Health	6/30/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Extend Insurance Services LLC	625753	Agent - Health