Agency Information

DAX LAWRENCE VENTURES

1428 W BEACON HILL DR

TAYLORSVILLE, UT 84123-4801

385-288-7786

daxjohn4@live.com

18085938

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3220839	02/13/2017	Active	02/13/2017	02/28/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	02/13/2017	Active	02/13/2017
Life	02/13/2017	Active	02/13/2017

Company Name	Appointment Type	Status	Active Date
106276
AETNA HEALTH INC (PA)	Health	Active	11/02/2022
770
Company Name	Appointment Type	Status	Active Date
AETNA HEALTH INSURANCE COMPANY	Health	Active	03/13/2017
7
Company Name	Appointment Type	Status	Active Date
AETNA LIFE INSURANCE COMPANY	Health	Active	11/04/2022
104
Company Name	Appointment Type	Status	Active Date
AMERITAS LIFE INSURANCE CORPORATION	Health	Active	07/18/2023
144156
Company Name	Appointment Type	Status	Active Date
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY	Health	Active	07/28/2021
150903
Company Name	Appointment Type	Status	Active Date
COVENTRY HEALTH CARE OF NEBRASKA INC	Health	Active	11/02/2022
141630
Company Name	Appointment Type	Status	Active Date
HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CORPORATION	Health	Active	11/01/2023
17687
Company Name	Appointment Type	Status	Active Date
MOLINA HEALTHCARE OF NEVADA INC	Health	Active	09/09/2022
18167
Company Name	Appointment Type	Status	Active Date
SILVERSUMMIT HEALTHPLAN INC	Health	Active	07/16/2022
161850
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.	Health	Active	07/28/2021
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	02/13/2017
16894
Company Name	Appointment Type	Status	Active Date
WELLCARE PRESCRIPTION INSURANCE INC	Health	Active	07/16/2022

row(s) 1 - 12 of 12

Name	Association Type	Agent	Begin Date	End Date
DAX LAWRENCE	Designated Resp Lic Prdcr	Yes	09/15/2020	-

1 - 1