DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ibraimov, Shane	DOIID	1033238	NAIC NPN	19071620

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/19/2019	8/24/2022
* 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	AXIS Insurance Company	301290	Agent - Health	11/8/2019	8/24/2022
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	10/16/2019	8/24/2022
Inactive	Federal Insurance Company	301144	Agent - Health	7/12/2019	11/8/2021
Inactive	Federal Life Insurance Company	300945	Agent - Health	8/10/2021	8/24/2022
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	2/28/2020	9/28/2021
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	4/4/2019	8/24/2022
Inactive	Unified Life Insurance Company	543169	Agent - Health	7/29/2021	8/24/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	6/12/2019	4/18/2022