DEPARTMENT OF INSURANCE

Affiliations

Name	Mohsenin, Jaleh	DOIID	932464	NAIC NPN	17836915

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	1/7/2021	3/31/2023
Inactive	Non Resident	Agent	Life	12/29/2020	3/31/2023
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/31/2017	3/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/31/2017	3/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/31/2017	3/31/2019
Inactive	American General Life Insurance Company	301585	Agent - Health	7/15/2021	6/9/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	7/15/2021	6/9/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/26/2017	7/30/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/19/2018	3/31/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/19/2018	3/31/2019
Inactive	Companion Life Insurance Company	300191	Agent - Health	3/28/2017	2/6/2018
Inactive	Everest Reinsurance Company	301836	Agent - Health	4/4/2017	3/31/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/31/2017	3/31/2019
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	5/26/2021	10/10/2022
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	5/26/2021	10/10/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/6/2017	4/2/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/6/2017	4/2/2019
Inactive	Lumico Life Insurance Company	300354	Agent - Health	1/24/2022	11/22/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/24/2022	1/31/2023
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	6/16/2017	3/31/2019
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	5/24/2018	3/31/2019
Inactive	Unified Life Insurance Company	543169	Agent - Health	10/20/2016	12/12/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/24/2021	5/2/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/24/2021	5/2/2022

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	7/19/2018	3/31/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/19/2018	3/31/2019