DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bush, Laquanzia	DOIID	1216254	NAIC NPN	20227552

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/13/2022	9/30/2023
Inactive	Non Resident	Agent	Health	7/13/2022	9/30/2023
* 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
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/24/2022	9/30/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/21/2022	9/30/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/13/2022	9/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Trubridge Inc	717747	Agent - Life
Inactive	Trubridge Inc	717747	Agent - Health	10/26/2022	12/5/2022