DEPARTMENT OF INSURANCE
Affiliations
NameLaverick, Jujuan TristanDOIID905298NAIC NPN16452748
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife1/29/2016 8/31/2026
ActiveNon ResidentAgentHealth1/29/2016 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent06/15/202608/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Life6/10/20209/3/2025
ActiveAetna Health Inc. (PA)660717Agent - Health8/11/2016 
InactiveAetna Health and Life Insurance Company300523Agent - Health7/15/20219/3/2025
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/17/2020 
ActiveAetna Life Insurance Company301140Agent - Health8/11/2016 
ActiveAetna Life Insurance Company301140Agent - Life12/22/2017 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health1/3/202312/5/2025
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health1/3/202312/19/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health1/3/202312/5/2025
InactiveAnthem Life Insurance Company301209Agent - Health8/19/20164/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life8/19/20164/15/2025
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/20226/9/2025
InactiveCompcare Health Services Insurance Corporation948751Agent - Health1/3/202312/5/2025
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/20189/3/2025
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life7/15/20219/3/2025
InactiveDental Concern Inc. (The)301641Agent - Health10/19/20166/8/2018
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health8/16/2024 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health8/11/2016 
InactiveGateway Health Plan of Ohio, Inc.833424Agent - Health11/15/201612/27/2017
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/19/20165/9/2019
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/19/20162/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health10/19/20166/8/2018
InactiveHumana Insurance Company301104Agent - Health10/19/20166/8/2018
InactiveHumana Insurance Company301104Agent - Life10/19/20166/8/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/19/20166/8/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/19/20166/8/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health10/19/20165/9/2019
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health8/2/2021 
ActiveSilverScript Insurance Company663526Agent - Health8/23/2019 
InactiveUnitedHealthcare Insurance Company300946Agent - Health9/27/20206/9/2025
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/7/201612/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health9/27/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/27/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/27/20206/9/2025
InactiveWellCare Prescription Insurance Inc.654329Agent - Health3/7/201912/29/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHealthcompare Ins Services Inc708319Agent - Life9/19/20228/26/2025
InactiveHealthcompare Ins Services Inc708319Agent - Health9/19/20228/26/2025

© Commonwealth of Kentucky. All rights reserved.