DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dormeus, Guilbo	DOIID	1064720	NAIC NPN	18256899

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/8/2019		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/25/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/25/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	8/25/2022
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	1/23/2020	7/14/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/11/2022	11/21/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/11/2022	11/21/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/11/2022	11/21/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/11/2022	11/21/2023
Inactive	Federal Insurance Company	301144	Agent - Health	12/17/2019	4/30/2021
Active	SilverScript Insurance Company	663526	Agent - Health	8/25/2022
Inactive	Unified Life Insurance Company	543169	Agent - Health	12/1/2020	11/2/2021
Inactive	United States Fire Insurance Company	582240	Agent - Health	1/6/2021	6/1/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/13/2022	12/6/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/13/2022	12/6/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Health Plan Intermediaries Holdings	786463	Agent - Health	10/19/2022
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	3/22/2023	3/31/2024
Active	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022