DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Barsoum, Michael James	DOIID	963606	NAIC NPN	8213078

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/14/2017		9/30/2025
Active	Non Resident	Agent	Life	8/14/2017		9/30/2025
* 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
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/9/2023	4/7/2023
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	3/9/2023	4/7/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/2/2017	11/30/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/2/2017	11/30/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/1/2022	11/30/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/1/2022	11/30/2023
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/9/2023	4/7/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Maryland Inc	567051	Agent - Life	10/5/2017	1/3/2020
Inactive	Willis Of Maryland Inc	567051	Agent - Health	10/5/2017	1/3/2020
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Life	1/31/2020	11/30/2023
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Health	1/31/2020	11/30/2023