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.

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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/2/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021
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
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
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