DEPARTMENT OF INSURANCE

Affiliations

Name	Ezell, Sandy	DOIID	763175	NAIC NPN	16364333

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/31/2022		8/31/2026
Inactive	Non Resident	Agent	Life	9/8/2016	11/13/2019
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/22/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/5/2018	11/13/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/22/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	9/22/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/28/2018	11/13/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	4/5/2018	11/13/2019
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	7/16/2024
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	7/13/2018	11/13/2019
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/6/2022	8/13/2024
Denied	CompBenefits Dental, Inc.	591692	Agent - Health
Active	CompBenefits Insurance Company	301864	Agent - Health	9/4/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/5/2018	11/13/2019
Active	Dental Concern Inc. (The)	301641	Agent - Health	1/22/2025
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	3/28/2018	11/13/2019
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	6/25/2018	11/11/2019
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	6/25/2018	11/11/2019
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/15/2024
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/6/2024
Active	Humana Health Plan, Inc.	300142	Agent - Health	7/16/2024
Active	Humana Insurance Company	301104	Agent - Health	7/16/2024
Inactive	Humana Insurance Company	301104	Agent - Life	4/30/2018	5/23/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/30/2018	5/9/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/30/2018	5/9/2019
Active	Humana Medical Plan, Inc.	801568	Agent - Health	8/12/2024
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/6/2024
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/16/2011	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/21/2011	7/14/2015
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	10/16/2018	6/27/2019
Active	SilverScript Insurance Company	663526	Agent - Health	9/22/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/6/2022	8/13/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/6/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/6/2022	8/13/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/6/2018	11/13/2019
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019	11/13/2019

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 - Health	3/22/2023	5/15/2024
Active	Humana MarketPOINT Inc.	398092	Agent - Health	6/14/2024