DEPARTMENT OF INSURANCE

Affiliations

Name	Jones, Dominic Lorenzo	DOIID	1213010	NAIC NPN	16970246

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	6/24/2022	10/31/2024
Active	Non Resident	Agent	Casualty	4/21/2023	10/31/2024
Active	Non Resident	Agent	Property	4/21/2023	10/31/2024
Active	Non Resident	Agent	Life	6/24/2022	10/31/2024
* 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	08/15/2024	10/31/2024

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	7/24/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	7/24/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/3/2023	5/6/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/3/2023	5/6/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/3/2023	5/6/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	2/19/2024	4/12/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/17/2022	12/2/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/3/2023	5/6/2024
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	5/6/2023	3/8/2024
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	5/6/2023	3/8/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/11/2024	4/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	1/11/2024	4/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/23/2024	4/12/2024
Active	SilverScript Insurance Company	663526	Agent - Health	7/24/2023
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	5/6/2023	3/19/2024
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	5/6/2023	3/19/2024
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	5/6/2023	3/15/2024
Inactive	USAA General Indemnity Company	300131	Agent - Property	5/6/2023	3/15/2024
Inactive	United Services Automobile Association	300158	Agent - Casualty	5/6/2023	3/28/2024
Inactive	United Services Automobile Association	300158	Agent - Property	5/6/2023	3/28/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/16/2022	12/2/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/16/2022	12/2/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/16/2022	12/2/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Humana MarketPOINT Inc.	398092	Agent - Life
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	7/24/2023	7/25/2024