DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Siverhus, Justin	DOIID	1259602	NAIC NPN	20299520

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/6/2023		2/28/2025
Active	Non Resident	Agent	Life	3/6/2023		2/28/2025
* 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	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/6/2023	10/9/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	3/6/2023	10/9/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/6/2023	10/9/2024
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	12/5/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/6/2023	10/9/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	2/29/2024	4/7/2024
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	2/29/2024	4/7/2024