DEPARTMENT OF INSURANCE

Affiliations

Name	Taylor, Justin Adam	DOIID	521395	NAIC NPN	5967218

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	7/24/2015	5/31/2020
Inactive	Resident	Agent	Property	7/24/2015	5/31/2020
Inactive	Resident	Agent	Health	10/12/2010	5/31/2020
Inactive	Resident	Agent	Life	10/12/2010	5/31/2020
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/14/2001	5/13/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/14/2001	5/13/2004
Inactive	American General Life Insurance Company	301585	Agent - Health	2/24/2011	1/8/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	2/24/2011	1/8/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	4/4/2011	5/31/2020
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	4/4/2011	5/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/26/2015	5/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/26/2015	5/31/2020
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/19/2012	8/28/2015
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	4/27/2011	12/13/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	4/27/2011	12/13/2011
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/8/2015	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/8/2015	12/7/2017
Inactive	C.M. Life Insurance Company	301335	Agent - Health	8/26/2004	7/1/2008
Inactive	C.M. Life Insurance Company	301335	Agent - Life	8/26/2004	7/1/2008
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/14/2004	7/1/2008
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/14/2004	7/1/2008
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/17/2016	6/15/2018
Inactive	CompBenefits Insurance Company	301864	Agent - Health	12/9/2010	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	12/9/2010	7/2/2013
Inactive	Continental American Insurance Company	301700	Agent - Health	8/21/2012	5/31/2020
Inactive	Continental American Insurance Company	301700	Agent - Life	8/21/2012	5/31/2020
Inactive	Dental Care Plus Inc.	301495	Agent - Health	4/1/2015	5/31/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/6/2020	5/31/2020
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	10/22/2010	5/31/2020
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	10/22/2010	5/31/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/8/2015	12/7/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/8/2015	12/7/2017
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/23/2004	7/1/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/23/2004	7/1/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/13/2013	10/1/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/13/2013	10/1/2017
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/27/2011	5/31/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/27/2011	5/31/2020
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/28/2011	11/23/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/28/2011	11/23/2012
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/6/2020	5/31/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/6/2020	5/31/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/6/2020	5/31/2020
Inactive	Humana Insurance Company	301104	Agent - Health	11/27/2010	5/31/2020
Inactive	Humana Insurance Company	301104	Agent - Life	11/27/2010	5/31/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/6/2020	5/31/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/6/2020	5/31/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/6/2020	5/31/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	3/6/2020	5/31/2020
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/9/2010	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/9/2010	5/13/2013
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	10/28/2005	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	10/28/2005	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	10/28/2005	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	10/28/2005	4/2/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/29/2015	1/22/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/29/2015	1/22/2018
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/8/2013	10/29/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/22/2007	7/1/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/22/2007	7/1/2008
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	8/26/2004	7/1/2008
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	8/26/2004	7/1/2008
Inactive	MedAmerica Insurance Company	301568	Agent - Health	8/10/2004	7/1/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	1/14/2015	5/31/2020
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	1/14/2015	5/31/2020
Inactive	Principal Life Insurance Company	300129	Agent - Health	12/23/2004	7/1/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	12/23/2004	7/1/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/24/2008	6/1/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/24/2008	6/1/2010
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	6/20/2008	7/1/2008
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	6/20/2008	7/1/2008
Inactive	Standard Insurance Company	300185	Agent - Health	8/14/2007	7/1/2008
Inactive	Standard Insurance Company	300185	Agent - Life	8/14/2007	7/1/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/24/2008	6/1/2010
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/24/2008	6/1/2010
Inactive	Union Security Insurance Company	301844	Agent - Health	11/1/2010	5/31/2020
Inactive	Union Security Insurance Company	301844	Agent - Life	11/1/2010	5/31/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/3/2009	12/14/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/3/2009	12/14/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/3/2009	12/14/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CIS Ins And Investments Partners LLC	849509	Agent - Life	3/16/2015	5/31/2020
Inactive	CIS Ins And Investments Partners LLC	849509	Agent - Health	3/16/2015	5/31/2020
Inactive	CIS Ins And Investments Partners LLC	849509	Agent - Property	10/12/2015	5/31/2020
Inactive	CIS Ins And Investments Partners LLC	849509	Agent - Casualty	10/12/2015	5/31/2020
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	6/6/2011	5/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/16/2013	5/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/16/2013	5/31/2020
Inactive	FSAB, LLC	576450	Agent - Life	11/18/2010	5/31/2020
Inactive	FSAB, LLC	576450	Agent - Health	11/18/2010	5/31/2020
Inactive	Medlink Inc	400721	Agent - Life	10/15/2004	7/1/2008
Inactive	Medlink Inc	400721	Agent - Health	10/15/2004	7/1/2008
Inactive	Planchoice Inc.	400482	Agent - Life	4/1/2015	5/31/2020
Inactive	Planchoice Inc.	400482	Agent - Health	4/1/2015	5/31/2020