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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
Inactive 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.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
07/15/2024
09/30/2024
09/30/2024
09/30/2024
Yes
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
Active
Anthem Life Insurance Company
301209
Agent - Health
10/12/2023
Active
Anthem Life Insurance Company
301209
Agent - Life
10/12/2023
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
Active
National Health Insurance Company
300554
Agent - Health
1/30/2021
Active
National Health Insurance Company
300554
Agent - Life
1/30/2021
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
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