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	11/30/2025
Active	Non Resident	Agent	Life	4/13/2020	11/30/2025
* 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	09/15/2025	11/30/2025

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	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
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/2/2020	8/26/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Humana MarketPOINT Inc.	398092	Agent - Life
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	8/27/2024	3/25/2025