DEPARTMENT OF INSURANCE

Affiliations

Name	Dominiski, Robert	DOIID	1051878	NAIC NPN	19181149

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/15/2019	5/31/2026
Active	Non Resident	Agent	Life	8/15/2019	5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	7/23/2020	12/29/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/15/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/23/2020	12/29/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	5/15/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	7/23/2020	8/11/2021
Active	American General Life Insurance Company	301585	Agent - Health	4/17/2025
Active	American General Life Insurance Company	301585	Agent - Life	4/17/2025
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	6/18/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/2/2021	11/13/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	11/13/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/25/2020	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/8/2020	12/10/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	7/6/2020	12/15/2020
Active	CareSource Kentucky Co.	838179	Agent - Health	10/17/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	12/3/2020	1/6/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	11/13/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/23/2020	12/29/2023
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	6/3/2025
Inactive	Great Western Insurance Company	501693	Agent - Life	7/19/2022	12/21/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/24/2020	10/7/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/25/2021	10/7/2021
Inactive	Humana Insurance Company	301104	Agent - Health	10/16/2020	10/7/2021
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	11/28/2022	9/30/2023
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	8/15/2022	3/14/2023
Active	SilverScript Insurance Company	663526	Agent - Health	5/15/2020
Active	United Home Life Insurance Company	300421	Agent - Life	2/20/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/14/2022	4/6/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/14/2022	4/6/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/7/2020	7/22/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/7/2020	7/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/7/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/7/2020	7/22/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/2/2020	12/23/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/2/2020	12/23/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/8/2020	12/13/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/25/2020	12/13/2020