DEPARTMENT OF INSURANCE

Affiliations

Name	Ely, Justin Samuel	DOIID	1083372	NAIC NPN	19487712

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/8/2020	7/31/2025
Active	Non Resident	Agent	Life	5/8/2020	7/31/2025
* 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
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	9/23/2021
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	6/3/2020	10/7/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/8/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020	10/7/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/3/2020	10/7/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/21/2022	4/11/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	12/21/2022	4/11/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/21/2022	4/11/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/21/2022	4/11/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/21/2022	4/11/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/18/2023	8/6/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	5/3/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/21/2022	4/11/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/23/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/23/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/31/2022	8/6/2024
Inactive	Humana Insurance Company	301104	Agent - Health	9/12/2023	8/6/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/13/2022	8/6/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/16/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/3/2020	10/7/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	9/4/2020	7/22/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/2/2020	5/3/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/2/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/2/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/2/2020	5/3/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/17/2022	9/1/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/28/2020	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	6/22/2020
Active	Designated Agent Company Inc.	681257	Agent - Health	6/22/2020
Inactive	Healthcompare Ins Services Inc	708319	Agent - Life	6/20/2020	3/18/2024
Inactive	Healthcompare Ins Services Inc	708319	Agent - Health	5/28/2020	3/18/2024