DEPARTMENT OF INSURANCE

Affiliations

Name	Berkey, Justin Raices	DOIID	1013616	NAIC NPN	16973382

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/5/2019		8/31/2026
Active	Non Resident	Agent	Property	6/5/2019		8/31/2026
Inactive	Non Resident	Agent	Health	10/4/2018	6/10/2022
Inactive	Non Resident	Agent	Life	10/4/2018	6/10/2022
* 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	06/15/2024	08/31/2024	06/04/2024	06/04/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	6/10/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/12/2021	6/10/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/17/2020	6/10/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/12/2021	6/10/2022
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	1/29/2021	3/13/2021
Inactive	Allstate Indemnity Company	300778	Agent - Property	1/29/2021	3/13/2021
Inactive	Allstate Insurance Company	300773	Agent - Casualty	1/29/2021	3/13/2021
Inactive	Allstate Insurance Company	300773	Agent - Property	1/29/2021	3/13/2021
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	1/29/2021	3/13/2021
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	1/29/2021	3/13/2021
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	1/29/2021	3/13/2021
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	1/29/2021	3/13/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	2/11/2021	3/8/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	2/11/2021	3/8/2021
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	5/19/2021	6/10/2024
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	5/19/2021	6/10/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/8/2020	12/9/2021
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/14/2022	6/10/2022
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	6/9/2019	4/14/2021
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	6/9/2019	4/14/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/24/2020	6/10/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/29/2018	7/29/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/29/2018	7/29/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/21/2020	6/10/2022
Inactive	Spinnaker Insurance Company	300099	Agent - Casualty	5/5/2021	6/7/2024
Inactive	Spinnaker Insurance Company	300099	Agent - Property	5/5/2021	6/7/2024
Inactive	Starmount Life Insurance Company	628031	Agent - Health	11/29/2018	7/29/2021
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	5/19/2021	6/10/2024
Inactive	The Phoenix Insurance Company	301502	Agent - Property	5/19/2021	6/10/2024
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	5/19/2021	6/10/2024
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	5/19/2021	6/10/2024
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	5/19/2021	6/10/2024
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	5/19/2021	6/10/2024
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	5/19/2021	6/10/2024
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	5/19/2021	6/10/2024
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/29/2018	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/29/2018	7/29/2021
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	6/9/2019	4/14/2021
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	6/9/2019	4/14/2021
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	6/9/2019	4/14/2021
Inactive	USAA General Indemnity Company	300131	Agent - Property	6/9/2019	4/14/2021
Inactive	United Services Automobile Association	300158	Agent - Casualty	6/9/2019	4/14/2021
Inactive	United Services Automobile Association	300158	Agent - Property	6/9/2019	4/14/2021
Inactive	Unum Insurance Company	301499	Agent - Health	11/29/2018	7/29/2021
Inactive	Unum Insurance Company	301499	Agent - Life	11/29/2018	7/29/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/31/2019	4/8/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/31/2019	4/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Matic Insurance Services Inc.	853271	Agent - Casualty	1/20/2021	2/24/2021
Inactive	Matic Insurance Services Inc.	853271	Agent - Property	1/20/2021	2/24/2021
Inactive	Optavise, LLC	671337	Agent - Life	10/29/2018	6/10/2022
Inactive	Optavise, LLC	671337	Agent - Health	10/29/2018	6/10/2022
Inactive	Simply Business, LLC	962617	Agent - Casualty	6/9/2021	6/10/2024
Inactive	Simply Business, LLC	962617	Agent - Property	6/9/2021	6/10/2024
Inactive	Ttec Financial Services Management LLC	881063	Agent - Casualty	8/8/2019	4/9/2021
Inactive	Ttec Financial Services Management LLC	881063	Agent - Property	8/8/2019	4/9/2021