DEPARTMENT OF INSURANCE

Affiliations

Name	Domansky, Sasha Michael	DOIID	1008658	NAIC NPN	18484854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/3/2025		3/31/2026
Inactive	Non Resident	Agent	Life	9/7/2018	3/31/2020
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/28/2018	3/31/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/6/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	3/6/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/28/2018	3/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/12/2018	3/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/12/2018	3/31/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/10/2018	3/31/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/10/2018	5/9/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/28/2018	3/31/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/10/2018	3/31/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/10/2018	5/9/2019
Inactive	Humana Insurance Company	301104	Agent - Health	9/10/2018	3/31/2020
Inactive	Humana Insurance Company	301104	Agent - Life	9/10/2018	3/31/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/10/2018	5/9/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/10/2018	5/9/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/10/2018	5/9/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/10/2018	5/9/2019
Active	SilverScript Insurance Company	663526	Agent - Health	3/6/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/7/2018	3/31/2020
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/7/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	3/31/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/7/2018	3/31/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/7/2018	3/31/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/2/2018	3/31/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/17/2019	3/31/2020

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	9/12/2018	3/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/12/2018	3/31/2020