DEPARTMENT OF INSURANCE

Affiliations

Name	Jones, Dominique J	DOIID	1097672	NAIC NPN	19441357

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	11/12/2025	11/30/2026
Active	Non Resident	Agent	Health	1/20/2021	11/30/2026
* 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	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/30/2024	1/16/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/18/2021	10/29/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/30/2024	1/16/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/30/2024	1/16/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/21/2021	1/10/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	12/12/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/3/2021	7/3/2024
Inactive	CHA HMO, Inc.	300662	Agent - Health	10/21/2022	7/3/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/12/2024	1/7/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/18/2021	10/29/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/19/2024	7/3/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/29/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/16/2024	7/3/2024
Inactive	Humana Insurance Company	301104	Agent - Health	12/10/2021	7/3/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/4/2021	7/3/2024
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Personal Lines	12/29/2025
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	5/2/2024
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	1/24/2023
Active	Peerless Indemnity Insurance Company	571682	Agent - Personal Lines	12/29/2025
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	10/26/2024	1/7/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/30/2024	1/16/2025
Inactive	Tier One Insurance Company	301056	Agent - Health	10/24/2022	11/5/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	1/20/2021	3/22/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/20/2021	1/23/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	10/14/2022	5/7/2024