DEPARTMENT OF INSURANCE

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.

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
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	SilverScript Insurance Company	663526	Agent - Health	11/11/2021

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