DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dublin, Johmari	DOIID	1108612	NAIC NPN	19444150

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/2/2020		1/31/2026
Active	Non Resident	Agent	Life	11/2/2020		1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	7/8/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/3/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/8/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/3/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	8/3/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/13/2023	5/6/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/13/2023	5/6/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/13/2023	5/6/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/18/2023	2/17/2025
Active	CareSource Kentucky Co.	838179	Agent - Health	7/20/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/13/2023	5/6/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/8/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/8/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/5/2020	1/10/2023
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/5/2020	1/10/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	12/19/2024
Active	SilverScript Insurance Company	663526	Agent - Health	8/3/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/18/2023	2/17/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/18/2023	2/17/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/5/2020	1/10/2023
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/5/2020	1/10/2023