DEPARTMENT OF INSURANCE

Affiliations

Name	Dominguez, Miranda	DOIID	1303586	NAIC NPN	20712732

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/6/2023		1/31/2027
* 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	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	11/10/2023	4/4/2025
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/29/2023	10/24/2025
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/12/2026
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/29/2023	10/24/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/29/2023	10/24/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/6/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/6/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/6/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	7/18/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	11/15/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/6/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/12/2026
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/30/2024
Active	Emphesys Insurance Company	300598	Agent - Health	10/24/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	3/23/2026
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/21/2023
Active	Humana Insurance Company	301104	Agent - Health	10/25/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/24/2025
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/10/2023	12/24/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/29/2023	10/24/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	11/15/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/15/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/31/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	eHealthInsurance Services Inc.	514105	Agent - Health	10/11/2023