DEPARTMENT OF INSURANCE

Affiliations

Name	Malcolm, Justin Tyler	DOIID	1022065	NAIC NPN	18851823

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	12/13/2018	9/30/2026
Active	Non Resident	Agent	Life	12/13/2018	9/30/2026
* 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	3/22/2021	4/6/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/19/2019	7/27/2020
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	2/25/2021
Active	American Financial Security Life Insurance Co.	301635	Agent - Life	7/26/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/12/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/12/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/12/2023	4/15/2025
Inactive	Aspen American Insurance Company	301513	Agent - Health	9/28/2020	12/15/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/24/2019	7/23/2019
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	4/24/2019	7/23/2019
Inactive	Continental American Insurance Company	301700	Agent - Health	5/1/2019	2/8/2022
Inactive	Continental American Insurance Company	301700	Agent - Life	5/1/2019	2/8/2022
Active	Federal Insurance Company	301144	Agent - Health	4/28/2020
Inactive	Federal Life Insurance Company	300945	Agent - Health	2/7/2023	9/5/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Health	8/6/2021	12/1/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Life	8/6/2021	12/1/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/23/2019	12/13/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/23/2019	12/15/2020
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	10/28/2020	12/30/2022
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	10/28/2020	12/30/2022
Active	National Guardian Life Insurance Company	300596	Agent - Health	7/22/2022
Inactive	National Health Insurance Company	300554	Agent - Health	1/30/2021	4/30/2025
Inactive	National Health Insurance Company	300554	Agent - Life	1/30/2021	4/30/2025
Active	North River Insurance Company (The)	301739	Agent - Health	6/27/2023
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	4/28/2020	7/5/2023
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	11/2/2020	11/13/2023
Active	Unified Life Insurance Company	543169	Agent - Health	11/8/2023
Active	United States Fire Insurance Company	582240	Agent - Health	4/18/2024
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	8/9/2024
Active	Wellfleet Insurance Company	300542	Agent - Health	3/19/2021

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	7/11/2019	4/18/2022