DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Laquan Jerell	DOIID	994081	NAIC NPN	18778450

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/13/2024		12/31/2025
Inactive	Non Resident	Agent	Personal Lines	5/14/2018	12/31/2019
* 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	10/15/2025	12/31/2025

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	8/17/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	2/19/2019	9/6/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/17/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	8/17/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/13/2024	5/5/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/13/2024	5/5/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	8/23/2018	10/3/2018
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/13/2024	5/5/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/19/2019	9/6/2019
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/19/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/23/2018	10/3/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/4/2018	10/3/2018
Inactive	Humana Insurance Company	301104	Agent - Health	7/31/2019	9/10/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/4/2018	10/3/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/23/2018	10/3/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/23/2018	10/3/2018
Active	SilverScript Insurance Company	663526	Agent - Health	8/17/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/23/2019	2/17/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/23/2019	2/17/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	8/26/2024	10/24/2024