DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Conn, Justin	DOIID	789671	NAIC NPN	15978828

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/27/2012		4/30/2026
Active	Non Resident	Agent	Life	8/27/2012		4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Horace Mann Life Insurance Company	300852	Agent - Life	10/6/2025
Active	National Teachers Associates Life Insurance Company	300107	Agent - Health	10/22/2020
Active	National Teachers Associates Life Insurance Company	300107	Agent - Life	10/22/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Horace Mann General Agency Corporation	898360	Agent - Life	10/22/2020
Active	Horace Mann General Agency Corporation	898360	Agent - Health	10/22/2020
Active	Horace Mann Service Corporation	400869	Agent - Life	3/3/2021
Active	Horace Mann Service Corporation	400869	Agent - Health	3/3/2021
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Life	9/12/2012	3/31/2016
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Health	9/12/2012	3/31/2016