DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ndombasi, Josef Zola	DOIID	1177852	NAIC NPN	19813697

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/31/2025		5/31/2026
Active	Non Resident	Agent	Health	5/27/2025		5/31/2026
Active	Non Resident	Independent Adjuster	Property & Casualty	9/30/2024		5/31/2026
Denied	Non Resident	Independent Adjuster	Workers' Compensation
* 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	03/15/2026	05/31/2026
Independent Adjuster	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/2/2025	11/3/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/2/2025	11/3/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/27/2025	9/30/2025
Active	Freedom Life Insurance Company of America	300074	Agent - Health	12/4/2025
Active	Freedom Life Insurance Company of America	300074	Agent - Life	12/4/2025
Inactive	Humana Insurance Company	301104	Agent - Health	7/2/2025	8/26/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/2/2025	11/3/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/27/2025	9/30/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/27/2025	9/30/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ushealth Advisors Llc	713288	Agent - Health	12/4/2025
Active	Ushealth Advisors Llc	713288	Agent - Life	12/4/2025