DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Costales, Justin Robert	DOIID	1087995	NAIC NPN	19548191

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/1/2020		8/31/2025
Active	Non Resident	Agent	Health	7/1/2020		8/31/2025
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Freedom Life Insurance Company of America	300074	Agent - Health	7/13/2020
Active	Freedom Life Insurance Company of America	300074	Agent - Life	7/13/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ushealth Advisors Llc	713288	Agent - Life	7/13/2020
Active	Ushealth Advisors Llc	713288	Agent - Health	7/13/2020