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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024	08/03/2024	08/03/2024	Yes

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
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/30/2018	12/10/2018
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