DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Melendez, Justyn Carmellow	DOIID	934365	NAIC NPN	18163695

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/22/2016		3/31/2027
Active	Non Resident	Agent	Life	6/20/2017		3/31/2027
* 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	01/15/2025	03/31/2025	03/26/2025	03/26/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/5/2016
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/20/2017
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	8/14/2022
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	12/5/2018
Active	Combined Insurance Company of America	301472	Agent - Health	10/10/2018
Active	Combined Insurance Company of America	301472	Agent - Life	10/10/2018
Active	Continental American Insurance Company	301700	Agent - Health	10/11/2021
Active	Continental American Insurance Company	301700	Agent - Life	10/11/2021
Active	Delaware Life Insurance Company	301256	Agent - Life	1/24/2025
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/10/2021	1/13/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/10/2021	1/13/2023
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	3/14/2023
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/14/2023
Active	Penn Insurance and Annuity Company	300712	Agent - Life	4/11/2024
Active	Penn Mutual Life Insurance Company	301394	Agent - Life	4/11/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	1/26/2021
Active	Transamerica Life Insurance Company	300571	Agent - Life	1/26/2021
Active	Trinity Life Insurance Company	552459	Agent - Life	8/8/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	1/31/2023	11/27/2024
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	1/31/2023	11/27/2024