DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grace, Justin	DOIID	1041502	NAIC NPN	18493611

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	5/23/2019		11/30/2025
* 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
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	6/16/2021
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/16/2021
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	6/16/2021
Pending Replacement	American Financial Security Life Insurance Co.	301635	Agent - Health	12/6/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/8/2021	5/31/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	5/31/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	5/31/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	5/16/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	5/31/2024
Inactive	Federal Insurance Company	301144	Agent - Health	12/6/2019	11/4/2021
Pending Replacement	Golden Rule Insurance Company	301943	Agent - Health	6/10/2019
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	6/16/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/8/2021	5/16/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/8/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/8/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/8/2021	5/16/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/8/2020	6/17/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/10/2023	6/17/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	2/16/2024	5/24/2024
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	1/2/2020	1/25/2023