DEPARTMENT OF INSURANCE

Affiliations

Name	Domangue, Kelsey Toban	DOIID	1208700	NAIC NPN	9234841

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	6/2/2022	3/31/2025
Active	Non Resident	Agent	Health	6/2/2022	3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Health	9/26/2022
Active	Accendo Insurance Company	300312	Agent - Life	9/26/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/20/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/26/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/20/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	6/20/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/18/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/18/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/18/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	5/10/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	12/28/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/18/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/26/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/26/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/30/2022	1/6/2023
Active	Humana Insurance Company	301104	Agent - Health	8/21/2023
Active	SilverScript Insurance Company	663526	Agent - Health	6/20/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/21/2022	12/28/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/21/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/21/2022	12/28/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	TZ Insurance Solutions LLC	727470	Agent - Life	1/19/2024
Active	TZ Insurance Solutions LLC	727470	Agent - Health	1/19/2024