DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Ezekiel	DOIID	1140458	NAIC NPN	18876586

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	6/18/2021	10/31/2024
Active	Non Resident	Agent	Health	6/18/2021	10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/20/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/20/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	9/20/2024
Active	American General Life Insurance Company	301585	Agent - Health	7/22/2024
Active	American General Life Insurance Company	301585	Agent - Life	7/22/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/12/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/28/2022	5/8/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/12/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/5/2022	5/8/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/5/2022	5/8/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/17/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/12/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	7/11/2024
Active	Golden Rule Insurance Company	301943	Agent - Life	7/11/2024
Active	Humana Insurance Company	301104	Agent - Health	5/29/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/18/2024
Active	SilverScript Insurance Company	663526	Agent - Health	9/20/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/17/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/17/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	3/5/2024	5/29/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Life	9/7/2022	5/8/2023
Inactive	Trubridge Inc	717747	Agent - Health	9/7/2022	12/2/2023