DEPARTMENT OF INSURANCE
Affiliations
NameGardner, Dominique DOIID1207480NAIC NPN20086973
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife1/28/2025 6/30/2027
ActiveNon ResidentAgentHealth5/26/2022 6/30/2027
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health6/17/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health6/17/2022 
ActiveAetna Life Insurance Company301140Agent - Health6/17/2022 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/24/2023 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health4/24/202312/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health4/24/2023 
InactiveArcadian Health Plan, Inc.728196Agent - Health8/28/20231/2/2024
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health6/13/2024 
InactiveChesapeake Life Insurance Company (The)301017Agent - Health8/31/20221/6/2025
ActiveColonial Penn Life Insurance Company300491Agent - Life3/11/2025 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health4/24/2023 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health7/1/2024 
ActiveHumana Insurance Company301104Agent - Health10/21/2024 
ActiveSilverScript Insurance Company663526Agent - Health6/17/2022 
ActiveUnitedHealthcare Insurance Company300946Agent - Health6/13/2024 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/17/202212/22/2022
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health6/13/2024 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health11/9/20231/25/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveGohealth LLC691445Agent - Health6/24/2024 

© Commonwealth of Kentucky. All rights reserved.