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DEPARTMENT OF INSURANCE
Affiliations
Name
Green, Dominique
DOIID
1057164
NAIC NPN
19019733
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
9/20/2019
2/28/2025
Active
Non Resident
Agent
Health
9/20/2019
2/28/2025
* 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
Active
Accendo Insurance Company
300312
Agent - Life
6/10/2020
Active
Aetna Health Inc. (PA)
660717
Agent - Health
10/3/2019
Inactive
Aetna Health and Life Insurance Company
300523
Agent - Health
10/2/2019
4/16/2020
Active
Aetna Health of Ohio Inc.
1065035
Agent - Health
7/30/2020
Active
Aetna Life Insurance Company
301140
Agent - Health
10/3/2019
Inactive
American Continental Insurance Company
643130
Agent - Life
12/15/2020
8/11/2021
Active
American Financial Security Life Insurance Co.
301635
Agent - Health
12/20/2022
Inactive
American General Life Insurance Company
301585
Agent - Health
11/30/2020
12/20/2023
Inactive
American General Life Insurance Company
301585
Agent - Life
11/30/2020
12/20/2023
Inactive
Anthem Health Plans of New Hampshire, Inc.
944064
Agent - Health
9/24/2021
12/20/2022
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
9/24/2021
12/20/2022
Inactive
Anthem Life Insurance Company
301209
Agent - Health
10/31/2019
12/20/2022
Inactive
Anthem Life Insurance Company
301209
Agent - Life
10/31/2019
12/20/2022
Active
Care Improvement Plus South Central Insurance Company
799697
Agent - Health
9/11/2022
Inactive
Compcare Health Services Insurance Corporation
948751
Agent - Health
9/24/2021
12/20/2022
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
10/2/2019
4/16/2020
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Life
1/12/2024
Inactive
Federal Life Insurance Company
300945
Agent - Health
12/20/2022
9/5/2023
Active
Lumico Life Insurance Company
300354
Agent - Health
9/21/2019
Inactive
Medico Insurance Company
301559
Agent - Health
12/4/2019
12/28/2020
Inactive
Medico Insurance Company
301559
Agent - Life
12/4/2019
12/28/2020
Active
SilverScript Insurance Company
663526
Agent - Health
10/16/2019
Inactive
Unified Life Insurance Company
543169
Agent - Health
5/18/2021
6/8/2021
Active
United Home Life Insurance Company
300421
Agent - Life
1/23/2024
Active
UnitedHealthcare Insurance Company
300946
Agent - Health
9/11/2022
Inactive
UnitedHealthcare Insurance Company of the River Valley
1027817
Agent - Health
9/11/2022
12/22/2022
Active
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
9/11/2022
Inactive
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
8/1/2022
5/29/2024
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
10/25/2019
4/7/2021
Active
Wellfleet Insurance Company
300542
Agent - Health
6/16/2021
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Assurance IQ, LLC
919554
Agent - Life
3/23/2023
5/15/2024
Inactive
Assurance IQ, LLC
919554
Agent - Health
3/23/2023
5/15/2024
Active
Designated Agent Company Inc.
681257
Agent - Life
10/31/2019
Active
Designated Agent Company Inc.
681257
Agent - Health
10/31/2019
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