DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dominguez, Dalia	DOIID	1096892	NAIC NPN	19626562

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/5/2020		9/30/2024
Active	Non Resident	Agent	Life	9/5/2020		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	3/4/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	2/9/2021	3/4/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/21/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	2/9/2021	3/4/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/21/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/21/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	2/9/2021	8/11/2021
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	5/8/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/9/2021	3/4/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/19/2020	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	12/3/2020	3/23/2023
Active	SilverScript Insurance Company	663526	Agent - Health	9/21/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/15/2020	5/8/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/15/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/15/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/15/2020	5/8/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/15/2022	6/8/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/8/2020	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Clear Link Ins Agency LLC	805173	Agent - Life
Inactive	Clear Link Ins Agency LLC	805173	Agent - Health	10/2/2020	4/24/2023