DEPARTMENT OF INSURANCE

Affiliations

Name	Hively, Justin Dean	DOIID	689038	NAIC NPN	10644957

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/11/2008	4/30/2027
Active	Non Resident	Agent	Health	9/11/2008	4/30/2027
Active	Non Resident	Agent	Variable Life and Variable Annuities	9/11/2008	4/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/26/2015
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/5/2016
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/26/2015
Active	Aetna Life Insurance Company	301140	Agent - Life	10/26/2015
Inactive	American Continental Insurance Company	643130	Agent - Life	8/19/2020	8/11/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	11/30/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/18/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/18/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/17/2024	5/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/17/2024	5/16/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/21/2023	12/12/2024
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/6/2015
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	11/6/2015
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/6/2023
Active	CareSource Kentucky Co.	838179	Agent - Health	10/23/2019
Inactive	Catholic Order of Foresters	300399	Agent - Health	9/1/2014	10/27/2014
Inactive	Catholic Order of Foresters	300399	Agent - Life	9/1/2014	10/27/2014
Inactive	Combined Insurance Company of America	301472	Agent - Health	10/22/2024	1/21/2025
Inactive	Combined Insurance Company of America	301472	Agent - Life	10/22/2024	1/21/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/10/2016	12/13/2016
Active	CompBenefits Insurance Company	301864	Agent - Health	2/11/2020
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/9/2009	8/31/2011
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/18/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Inactive	Dental Care Plus Inc.	301495	Agent - Health	10/13/2015	3/31/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/25/2023	12/12/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/10/2024
Active	Emphesys Insurance Company	300598	Agent - Health	10/24/2025
Active	First Health Life & Health Insurance Company	301735	Agent - Health	10/26/2015
Inactive	General American Life Insurance Company	300280	Agent - Health	9/18/2008	10/15/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	9/18/2008	10/15/2009
Inactive	General American Life Insurance Company	300280	Agent - Variable Life and Variable Annuities	9/18/2008	10/15/2009
Active	Golden Rule Insurance Company	301943	Agent - Health	8/1/2014
Active	Golden Rule Insurance Company	301943	Agent - Life	8/1/2014
Inactive	HCC Life Insurance Company	301827	Agent - Health	5/27/2016	6/23/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/10/2016	6/15/2018
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/12/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/18/2019	12/15/2020
Active	Humana Insurance Company	301104	Agent - Health	2/1/2019
Active	Humana Insurance Company	301104	Agent - Life	2/1/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/18/2013	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/18/2013	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/3/2018	4/8/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	12/12/2024
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/9/2009	8/31/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/9/2009	8/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/18/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/18/2013	10/22/2015
Active	MedMutual Life Insurance Company	301047	Agent - Health	1/20/2025
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	9/18/2008	10/15/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	9/18/2008	10/15/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	9/18/2008	10/15/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/18/2008	10/15/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/18/2008	10/15/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Variable Life and Variable Annuities	9/18/2008	10/15/2009
Inactive	Mutual of Omaha Medicare Advantage Company	979434	Agent - Health	10/9/2018	4/24/2020
Inactive	New England Life Insurance Company	300343	Agent - Health	9/18/2008	10/15/2009
Inactive	New England Life Insurance Company	300343	Agent - Life	9/18/2008	10/15/2009
Inactive	New England Life Insurance Company	300343	Agent - Variable Life and Variable Annuities	9/18/2008	10/15/2009
Active	Reserve National Insurance Company	301073	Agent - Health	10/10/2024
Active	SilverScript Insurance Company	663526	Agent - Health	6/6/2019
Active	United Insurance Company of America	300775	Agent - Health	10/10/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/5/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/30/2009	6/30/2011
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	2/26/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	2/26/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/5/2019	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/30/2009	6/30/2011
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/5/2019
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/18/2019
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	8/13/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Health	2/18/2025
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	3/17/2024	5/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	6/25/2009	9/26/2013
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	6/25/2009	9/26/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/9/2013	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/9/2013	2/10/2025