DEPARTMENT OF INSURANCE

Affiliations

Name	Colby, Dominique L	DOIID	728067	NAIC NPN	15739080

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	4/13/2020	11/30/2027
Active	Non Resident	Agent	Life	4/13/2020	11/30/2027
* 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 - Life	10/25/2020	7/19/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/1/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/25/2020	7/19/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/1/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/1/2023
Inactive	American Continental Insurance Company	643130	Agent - Life	10/25/2020	7/19/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	11/16/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/31/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/4/2021	12/24/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/31/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/1/2021	5/31/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/1/2021	5/31/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	7/31/2024	4/1/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/3/2025
Inactive	CareSource Kentucky Co.	838179	Agent - Health	5/7/2021	4/6/2023
Inactive	CompBenefits Insurance Company	301864	Agent - Health	9/6/2024	4/1/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/31/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/25/2020	7/19/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/8/2024	4/1/2025
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/19/2010	6/19/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/19/2010	6/19/2012
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/29/2024	4/1/2025
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/12/2024	4/1/2025
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/31/2024	4/1/2025
Inactive	Humana Insurance Company	301104	Agent - Health	7/31/2024	4/1/2025
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/29/2024	4/1/2025
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/12/2024	4/1/2025
Inactive	Independence American Insurance Company	524747	Agent - Health	9/30/2021	12/30/2022
Active	North River Insurance Company (The)	301739	Agent - Health	4/7/2021
Active	SilverScript Insurance Company	663526	Agent - Health	9/1/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/3/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/3/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/13/2023	5/29/2024
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/2/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fidelity Health Insurance Services LLC	887889	Agent - Health	2/10/2026
Denied	Humana MarketPOINT Inc.	398092	Agent - Life
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	8/27/2024	3/25/2025