DEPARTMENT OF INSURANCE

Affiliations

Name	Ballock, Justin Lee	DOIID	946130	NAIC NPN	18125557

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/17/2022	8/31/2023
Inactive	Non Resident	Agent	Life	6/17/2022	8/31/2023
* 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 Property and Casualty Insurance Company	300520	Agent - Health	8/24/2022	9/5/2023
Inactive	Accendo Insurance Company	300312	Agent - Health	2/11/2023	8/31/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	2/11/2023	8/31/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/1/2022	8/31/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	2/11/2023	8/31/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/1/2022	8/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/1/2022	8/31/2023
Inactive	American Republic Insurance Company	300861	Agent - Health	6/23/2022	1/31/2023
Inactive	American Republic Insurance Company	300861	Agent - Life	6/23/2022	1/31/2023
Inactive	Capitol Life Insurance Company	301514	Agent - Health	2/7/2023	8/31/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/3/2023	10/20/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/11/2023	8/31/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	2/11/2023	8/31/2023
Inactive	Elips Life Insurance Company	301087	Agent - Health	10/28/2022	8/31/2023
Inactive	GCU	962873	Agent - Health	2/27/2019	12/11/2019
Inactive	Independent Life Insurance Company	301831	Agent - Health	3/2/2018	12/19/2018
Inactive	Independent Life Insurance Company	301831	Agent - Life	3/2/2018	12/19/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/9/2019	5/17/2021
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	8/9/2017	8/31/2021
Inactive	Medico Insurance Company	301559	Agent - Health	6/27/2022	12/21/2022
Inactive	Medico Insurance Company	301559	Agent - Life	6/27/2022	12/21/2022
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	4/6/2017	8/31/2021
Inactive	SBLI USA Life Insurance Company, Inc.	980989	Agent - Health	8/31/2022	8/31/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/1/2022	8/31/2023
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	8/9/2018	8/31/2021
Inactive	Tier One Insurance Company	301056	Agent - Health	10/24/2022	8/31/2023
Inactive	Tier One Insurance Company	301056	Agent - Life	8/17/2022	8/31/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/3/2023	10/20/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/29/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/3/2023	10/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Spring Ins Solutions LLC	788951	Agent - Life
Inactive	Spring Ins Solutions LLC	788951	Agent - Health	11/19/2019	2/4/2020