DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rivas, Justine Rene	DOIID	836767	NAIC NPN	17222210

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/4/2017		7/31/2024
Active	Non Resident	Agent	Personal Lines	11/12/2018		7/31/2024
* 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	05/15/2024	07/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/28/2020	5/8/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	7/7/2020	6/1/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/8/2017	9/26/2017
Inactive	Economy Preferred Insurance Company	300480	Agent - Personal Lines	7/8/2019	12/24/2020
Inactive	Esurance Insurance Company	301072	Agent - Personal Lines	8/5/2021	7/15/2022
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Personal Lines	8/5/2021	7/15/2022
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Personal Lines	7/8/2019	12/29/2021
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Personal Lines	7/8/2019	4/8/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/6/2020	6/1/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/8/2017	9/26/2017
Inactive	Humana Insurance Company	301104	Agent - Health	8/8/2017	9/26/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/8/2017	9/26/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/8/2017	9/26/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/8/2017	9/26/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/8/2017	9/26/2017
Inactive	LM General Insurance Company	300133	Agent - Personal Lines	9/9/2019	6/5/2020
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	4/15/2019	6/4/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/5/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/5/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Awl Insurance Agency Inc	945504	Agent - Personal Lines	7/24/2019	4/8/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/28/2020	5/10/2021
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	4/24/2019	6/4/2019
Denied	Nationwide Sales Solutions Inc	631821	Agent - Health