DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ali-Ahmadi, Mansoor	DOIID	1023909	NAIC NPN	2680563

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/17/2024		12/31/2025
Inactive	Non Resident	Agent	Life	12/30/2018	12/31/2021
* 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	1/23/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/23/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	1/23/2024
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	2/14/2019	1/4/2021
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	2/14/2019	1/4/2021
Inactive	C.M. Life Insurance Company	301335	Agent - Life	7/14/2020	12/31/2021
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/28/2024	3/29/2024
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/19/2020	12/31/2021
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/19/2020	12/31/2021
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	10/29/2019	11/19/2021
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	10/29/2019	11/19/2021
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/12/2019	12/31/2021
Active	SilverScript Insurance Company	663526	Agent - Health	1/23/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/15/2020	12/22/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/15/2020	12/22/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/28/2024	3/29/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/28/2024	3/29/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Life	2/14/2019	9/20/2021
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Health	2/14/2019	9/20/2021