DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jones, Dominique J	DOIID	714861	NAIC NPN	14983698

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/2/2009	7/31/2013
Active	Non Resident	Staff Adjuster	Property & Casualty	6/11/2021		7/31/2025
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	1/7/2010	3/27/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/7/2010	3/27/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/8/2009	3/27/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/8/2009	3/27/2012
Inactive	Humana Insurance Company	301104	Agent - Health	10/8/2009	3/27/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/8/2009	3/27/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/16/2011	2/24/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/8/2009	3/27/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	3/17/2010	3/27/2012