DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Liciaga, Justin Dymitri	DOIID	1437309	NAIC NPN	21773266

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/3/2025		2/28/2027
Active	Non Resident	Agent	Life	12/3/2025		2/28/2027
* 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	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/15/2026
Active	Golden Rule Insurance Company	301943	Agent - Health	12/9/2025
Active	Golden Rule Insurance Company	301943	Agent - Life	12/9/2025
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	12/10/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Insureme, Inc.	1363699	Agent - Life	3/25/2026
Active	Insureme, Inc.	1363699	Agent - Health	3/25/2026