DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Baca, Justin Ellis	DOIID	1141408	NAIC NPN	18277828

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/23/2021	10/31/2023
Inactive	Non Resident	Agent	Life	6/23/2021	10/31/2023
* 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	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	4/4/2023	10/31/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	6/6/2023	10/31/2023
Inactive	United American Insurance Company	300910	Agent - Health	1/9/2023	12/19/2023
Inactive	United American Insurance Company	300910	Agent - Life	1/9/2023	12/19/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/29/2022	6/28/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/29/2022	6/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/28/2023	10/31/2023
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/28/2023	10/31/2023