DEPARTMENT OF INSURANCE

Affiliations

Name	Larocque, Derek J	DOIID	1201766	NAIC NPN	18508609

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/27/2022		6/30/2027
* 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	04/15/2025	06/30/2025	04/30/2025	04/30/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/11/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/27/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/11/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	5/11/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/27/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	4/27/2022	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/27/2022
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/20/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/8/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/27/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/27/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/6/2023	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	2/20/2023	12/12/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	1/3/2025
Active	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	10/5/2024
Active	SilverScript Insurance Company	663526	Agent - Health	5/11/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/8/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/8/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/30/2024
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/25/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Health Plan Intermediaries Holdings	786463	Agent - Health	10/14/2022
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	3/22/2023	3/31/2024
Active	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022