DEPARTMENT OF INSURANCE

Affiliations

Name	Ely, Justin Samuel	DOIID	1083372	NAIC NPN	19487712

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/8/2020	7/31/2025
Active	Non Resident	Agent	Life	5/8/2020	7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	9/23/2021	4/18/2025
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	6/3/2020	10/7/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/8/2020	4/18/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020	10/7/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/3/2020	10/7/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/21/2022	4/11/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	12/21/2022	4/11/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/21/2022	4/11/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/21/2022	4/11/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/21/2022	4/11/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/18/2023	8/6/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	5/3/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/21/2022	4/11/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/23/2021	4/18/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/23/2021	4/18/2025
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/31/2022	8/6/2024
Inactive	Humana Insurance Company	301104	Agent - Health	9/12/2023	8/6/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/13/2022	8/6/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/16/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/3/2020	10/7/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	9/4/2020	7/22/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/2/2020	5/3/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/2/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/2/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/2/2020	5/3/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/17/2022	9/1/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/28/2020	12/30/2021

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 - Life	6/22/2020	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/22/2020	2/10/2025
Inactive	Healthcompare Ins Services Inc	708319	Agent - Life	6/20/2020	3/18/2024
Inactive	Healthcompare Ins Services Inc	708319	Agent - Health	5/28/2020	3/18/2024