DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shalikar, Matin	DOIID	941271	NAIC NPN	9660118

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/5/2017		9/30/2026
Active	Non Resident	Agent	Casualty	1/5/2017		9/30/2026
Active	Non Resident	Agent	Property	1/5/2017		9/30/2026
Active	Non Resident	Agent	Life	1/5/2017		9/30/2026
* 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	07/15/2024	09/30/2024	07/10/2024	07/10/2024	Yes

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	4/27/2017
Active	Aetna Life Insurance Company	301140	Agent - Health	4/27/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	4/27/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/4/2017	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/4/2017	10/20/2018
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	4/27/2017	6/15/2022
Active	Doctors Company, an Interinsurance Exchange (The)	301946	Agent - Casualty	1/6/2017
Active	Doctors Company, an Interinsurance Exchange (The)	301946	Agent - Health	4/18/2017
Active	Doctors Company, an Interinsurance Exchange (The)	301946	Agent - Property	1/6/2017
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	11/29/2017
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	11/29/2017
Active	Principal Life Insurance Company	300129	Agent - Health	4/25/2022
Active	Principal Life Insurance Company	300129	Agent - Life	4/25/2022
Active	Standard Insurance Company	300185	Agent - Health	7/8/2024
Active	Standard Insurance Company	300185	Agent - Life	7/8/2024

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 - Health	5/5/2017	10/17/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/5/2017	10/17/2018
Active	Doctors Co Ins Services LLC The	776045	Agent - Casualty	3/13/2017
Active	Doctors Co Ins Services LLC The	776045	Agent - Health	4/18/2017
Active	Doctors Co Ins Services LLC The	776045	Agent - Life	4/27/2017
Active	Doctors Co Ins Services LLC The	776045	Agent - Property	3/13/2017