Individual Information

MOZAFFAR GHOMGHALEH

BEAVERTON, OR 97075

Active

moze.mgis@gmail.com

08/20/2001

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	78279	10/01/2001	Active	10/01/2001	08/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Var. Annuities/Var. Life	10/01/2001	Active	10/01/2001
Health	08/20/2001	Inactive	10/01/2001
Life	08/20/2001	Inactive	10/01/2001
Var. Annuities/Var. Life	08/20/2001	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
1026
ACCENDO INSURANCE COMPANY	Life	Active	07/08/2020
43
Company Name	Appointment Type	Status	Active Date
AMERICAN GENERAL LIFE INSURANCE COMPANY	Health	Active	05/15/2017
	Life	Active	05/15/2017
	Var. Annuities/Var. Life	Active	05/15/2017
144156
Company Name	Appointment Type	Status	Active Date
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY	Health	Active	08/02/2021
940
Company Name	Appointment Type	Status	Active Date
NATIONAL HEALTH INSURANCE COMPANY	Health	Active	09/29/2022
	Life	Active	09/29/2022
120736
Company Name	Appointment Type	Status	Active Date
SCAN HEALTH PLAN NEVADA DBA SCAN HEALTH PLAN	Health	Active	10/15/2021
146052
Company Name	Appointment Type	Status	Active Date
SELECTHEALTH INC	Health	Active	06/20/2023
944
Company Name	Appointment Type	Status	Active Date
SIERRA HEALTH AND LIFE INSURANCE COMPANY	Health	Active	07/24/2024
671
Company Name	Appointment Type	Status	Active Date
UNITED AMERICAN INSURANCE COMPANY	Health	Active	09/16/2021
	Life	Active	09/16/2021
161850
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.	Health	Active	08/02/2021
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	11/09/2021

row(s) 1 - 14 of 14

Organization	Association Type	Type	Beg dte	End dte
MG INSURANCE SERVICES	Designated Resp Lic Prdcr	Agency	02/15/2021	-

1 - 1