DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kilpatrick, Justin Ryan	DOIID	837073	NAIC NPN	17192497

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/27/2014	11/30/2018
Inactive	Non Resident	Agent	Life	3/27/2014	11/30/2018
* 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	ACE American Insurance Company	300625	Agent - Health	3/2/2017	11/30/2018
Inactive	AXIS Insurance Company	301290	Agent - Health	1/24/2017	11/30/2018
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/3/2017	7/6/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/3/2017	7/6/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/3/2017	7/6/2018
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	1/30/2018	11/30/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/6/2017	11/12/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	4/6/2017	11/12/2018
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	1/3/2017	7/6/2018
Inactive	Everest Reinsurance Company	301836	Agent - Health	10/11/2016	11/30/2018
Inactive	Federal Insurance Company	301144	Agent - Health	3/2/2017	11/30/2018
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	4/8/2014	3/2/2015
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	4/8/2014	3/2/2015
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	1/26/2018	1/11/2019
Inactive	National Health Insurance Company	300554	Agent - Health	9/13/2017	11/30/2018
Inactive	Unified Life Insurance Company	543169	Agent - Health	8/31/2016	12/12/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Life	4/13/2018	11/12/2018
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/13/2018	11/30/2018