DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Disalvo, Dominic	DOIID	1265629	NAIC NPN	20645937

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/30/2023		4/30/2025
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	7/6/2023	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/7/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/6/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/7/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	7/7/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/11/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/11/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/11/2023
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/20/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/5/2023
Active	Cigna Healthcare of Colorado, Inc.	1098153	Agent - Health	11/20/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/11/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/6/2023
Active	Humana Insurance Company	301104	Agent - Health	12/4/2023
Active	Medco Containment Life Insurance Company	301557	Agent - Health	11/13/2023
Active	Omaha Health Insurance Company	301296	Agent - Health	11/15/2023
Active	SilverScript Insurance Company	663526	Agent - Health	7/7/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/5/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/5/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Retiremed IQ, LLC	682484	Agent - Health	12/18/2023