DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Dominique Cartier	DOIID	1134450	NAIC NPN	16363509

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/13/2021	11/30/2026
Active	Non Resident	Agent	Property	1/23/2025	11/30/2026
Active	Non Resident	Agent	Life	5/13/2021	11/30/2026
Active	Non Resident	Agent	Casualty	1/23/2025	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 - Life	5/20/2021	1/10/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/1/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	5/20/2021	1/10/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/1/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	6/1/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	5/19/2021	10/14/2022
Active	American General Life Insurance Company	301585	Agent - Life	1/29/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/11/2022	3/9/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/11/2022	3/9/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/11/2022	3/9/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	5/13/2021	4/15/2022
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	5/13/2021	4/15/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Life	5/29/2021	4/4/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/25/2024	12/12/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/11/2022	3/9/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/20/2021	1/10/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/20/2021	1/10/2023
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	5/18/2021	10/20/2022
Active	Hiscox Insurance Company Inc.	300894	Agent - Casualty	1/31/2025
Active	Hiscox Insurance Company Inc.	300894	Agent - Property	1/31/2025
Inactive	Humana Insurance Company	301104	Agent - Health	11/7/2022	1/6/2023
Active	SilverScript Insurance Company	663526	Agent - Health	6/1/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/25/2024	12/12/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/7/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/7/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/25/2024	12/12/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/17/2022	2/15/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Life	9/21/2021	1/10/2023
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Health	9/21/2021	3/2/2023