DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gardner, Dominique	DOIID	1207480	NAIC NPN	20086973

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/28/2025		6/30/2027
Active	Non Resident	Agent	Health	5/26/2022		6/30/2027
* 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	04/15/2025	06/30/2025	05/28/2025	05/28/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/17/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/17/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	6/17/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/24/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	4/24/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/24/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	8/28/2023	1/2/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/13/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/31/2022	1/6/2025
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	3/11/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/24/2023
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/1/2024
Active	Humana Insurance Company	301104	Agent - Health	10/21/2024
Active	SilverScript Insurance Company	663526	Agent - Health	6/17/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/13/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/17/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/13/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/9/2023	1/25/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gohealth LLC	691445	Agent - Health	6/24/2024