DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rivera, Dominique	DOIID	1343316	NAIC NPN	19582774

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/3/2024		8/31/2026
* 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	06/15/2026	08/31/2026

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	6/22/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/22/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	6/22/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/3/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/3/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	2/19/2025	4/14/2026
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/3/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/24/2025	4/14/2026
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/3/2026	4/14/2026
Active	SilverScript Insurance Company	663526	Agent - Health	6/22/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anhelo Insurance Solutions LLC	1112782	Agent - Health	3/14/2025	4/6/2026