DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Inactive 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.

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
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	2/24/2025
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
Active	Humana Insurance Company	301104	Agent - Health	3/20/2025
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	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