DEPARTMENT OF INSURANCE
Affiliations
NameMack, Justin WhitneyDOIID724698NAIC NPN12175221
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth5/9/2018 8/31/2025
ActiveNon ResidentAgentLife5/9/2018 8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent06/15/202508/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health8/12/202211/17/2023
ActiveAccendo Insurance Company300312Agent - Life8/12/2022 
ActiveAetna Health Inc. (PA)660717Agent - Health9/4/2024 
ActiveAetna Health and Life Insurance Company300523Agent - Health8/12/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health2/24/2025 
ActiveAetna Life Insurance Company301140Agent - Health9/4/2024 
InactiveAetna Life Insurance Company301140Agent - Life7/12/20187/15/2024
InactiveAmerican Continental Insurance Company643130Agent - Life9/24/20197/23/2021
ActiveAmerican General Life Insurance Company301585Agent - Health4/9/2024 
ActiveAmerican General Life Insurance Company301585Agent - Life4/9/2024 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/28/202212/16/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health6/27/202312/16/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/27/202312/16/2024
InactiveAnthem Life Insurance Company301209Agent - Health10/26/20197/19/2022
InactiveAnthem Life Insurance Company301209Agent - Life10/26/20197/19/2022
InactiveArcadian Health Plan, Inc.728196Agent - Health10/23/20235/16/2024
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health9/19/2023 
InactiveCompBenefits Dental, Inc.591692Agent - Health4/16/20163/22/2017
InactiveCompcare Health Services Insurance Corporation948751Agent - Health6/27/202312/16/2024
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health8/12/2022 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life8/12/2022 
InactiveDental Concern Inc. (The)301641Agent - Health4/16/20163/22/2017
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health8/19/2024 
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life4/8/2024 
InactiveFirst Health Life & Health Insurance Company301735Agent - Health7/12/20187/15/2024
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health8/15/20227/11/2023
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health5/24/20237/11/2023
InactiveHumana Health Plan, Inc.300142Agent - Health10/30/20143/22/2017
ActiveHumana Insurance Company301104Agent - Health8/28/2024 
InactiveHumana Insurance Company301104Agent - Life7/24/201812/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/30/20143/22/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/30/20143/22/2017
InactiveHumana Medical Plan, Inc.801568Agent - Health9/12/20235/16/2024
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health7/24/201812/10/2018
InactiveKanawha Insurance Company300127Agent - Health10/30/201410/22/2015
InactiveKanawha Insurance Company300127Agent - Life10/30/201410/22/2015
InactiveMedco Containment Life Insurance Company301557Agent - Health9/29/20148/31/2017
InactiveMedico Corp Life Insurance Company301777Agent - Health1/14/201512/21/2016
InactiveMedico Corp Life Insurance Company301777Agent - Life1/14/201512/21/2016
InactiveMetLife Investors USA Insurance Company300845Agent - Life2/16/20112/9/2012
InactivePruco Life Insurance Company300954Agent - Health3/23/20102/4/2013
InactivePruco Life Insurance Company300954Agent - Life3/23/20102/4/2013
ActiveSilverScript Insurance Company663526Agent - Health9/9/2019 
ActiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life4/17/2024 
ActiveUnitedHealthcare Insurance Company300946Agent - Health9/19/2023 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/16/20162/13/2017
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health6/27/202212/22/2022
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/26/201412/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/19/2023 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health6/23/2024 
InactiveWellCare Prescription Insurance Inc.654329Agent - Health3/7/20195/29/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCarezone Financial Services LLC897339Agent - Health8/7/20185/28/2019
InactiveCarezone Financial Services LLC897339Agent - Life8/7/20185/28/2019
InactiveDesignated Agent Company Inc.681257Agent - Health7/29/20134/5/2017
InactiveDesignated Agent Company Inc.681257Agent - Life7/29/20134/5/2017
InactiveQw Insurance Solutions, LLC1047634Agent - Health1/30/20207/12/2021
InactiveeHealthInsurance Services Inc.514105Agent - Health4/6/20157/13/2017
InactiveeHealthInsurance Services Inc.514105Agent - Life4/6/20154/27/2017

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