DEPARTMENT OF INSURANCE

Affiliations

Name	Ezyk, Justin Michael	DOIID	968021	NAIC NPN	7692557

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/25/2024	1/31/2027
Active	Non Resident	Agent	Health	9/25/2024	1/31/2027
* 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	11/15/2026	01/31/2027

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	10/1/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/1/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	10/1/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/28/2017	10/24/2018
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	2/24/2025	1/22/2026
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/3/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/21/2017	1/12/2018
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	1/13/2025
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/21/2017	1/31/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/21/2017	1/12/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/21/2017	1/12/2018
Inactive	Humana Insurance Company	301104	Agent - Health	3/20/2025	1/22/2026
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/21/2017	1/12/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/21/2017	1/12/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/21/2017	1/12/2018
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/9/2025
Active	SilverScript Insurance Company	663526	Agent - Health	10/1/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/3/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/3/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/8/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/28/2017	1/31/2019
Active	Unified Growth Partners	1338837	Agent - Health	10/17/2024
Denied	Unified Growth Partners	1338837	Agent - Life