DEPARTMENT OF INSURANCE

Affiliations

Name	Monforte, Dawn	DOIID	1092647	NAIC NPN	7491222

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/16/2024	9/30/2025
Active	Non Resident	Agent	Life	2/1/2021	9/30/2025
Active	Non Resident	Agent	Health	8/6/2020	9/30/2025
Active	Non Resident	Agent	Property	10/16/2024	9/30/2025
* 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	07/15/2025	09/30/2025

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	10/5/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/21/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/5/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/5/2020
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	4/21/2025
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	4/21/2025
Active	American Modern Home Insurance Company	300791	Agent - Casualty	11/7/2024
Active	American Modern Home Insurance Company	300791	Agent - Property	11/7/2024
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/24/2021	8/25/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/26/2023	5/7/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/26/2023	5/7/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/26/2023	5/7/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/22/2023	5/7/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/22/2023	5/7/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/9/2022	2/16/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	12/3/2023	12/16/2024
Inactive	CompBenefits Insurance Company	301864	Agent - Health	8/23/2022	2/16/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/26/2023	5/7/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/21/2023
Active	Homesite Insurance Company	301139	Agent - Casualty	10/18/2024
Active	Homesite Insurance Company	301139	Agent - Property	10/18/2024
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	10/18/2024
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	10/18/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/4/2022	2/16/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/5/2022	2/16/2023
Inactive	Humana Insurance Company	301104	Agent - Health	8/23/2022	2/16/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/9/2022	2/16/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/5/2022	2/16/2023
Active	Midvale Indemnity Company	300292	Agent - Casualty	4/21/2025
Active	Midvale Indemnity Company	300292	Agent - Property	4/21/2025
Active	SilverScript Insurance Company	663526	Agent - Health	10/5/2020
Inactive	United Home Life Insurance Company	300421	Agent - Life	6/9/2021	6/10/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/3/2023	12/16/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/27/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/27/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	12/3/2023	12/16/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/20/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/20/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clear Link Ins Agency LLC	805173	Agent - Health	8/25/2020	1/12/2021