DEPARTMENT OF INSURANCE

Affiliations

Name	Laverick, Jujuan Tristan	DOIID	905298	NAIC NPN	16452748

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	1/29/2016	8/31/2026
Active	Non Resident	Agent	Health	1/29/2016	8/31/2026
* 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	06/15/2024	08/31/2024	06/10/2024	06/10/2024	Yes

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	8/11/2016
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/15/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/17/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/11/2016
Active	Aetna Life Insurance Company	301140	Agent - Life	12/22/2017
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/3/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	1/3/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/3/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	8/19/2016
Active	Anthem Life Insurance Company	301209	Agent - Life	8/19/2016
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/3/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/15/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/19/2016	6/8/2018
Active	First Health Life & Health Insurance Company	301735	Agent - Health	8/11/2016
Inactive	Gateway Health Plan of Ohio, Inc.	833424	Agent - Health	11/15/2016	12/27/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/19/2016	5/9/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/19/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/19/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/19/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/19/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/19/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/19/2016	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/19/2016	5/9/2019
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/2/2021
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/27/2020
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/7/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/27/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/27/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/27/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019	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
Active	Healthcompare Ins Services Inc	708319	Agent - Life	9/19/2022
Active	Healthcompare Ins Services Inc	708319	Agent - Health	9/19/2022