DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jones, Dominique J	DOIID	714861	NAIC NPN	14983698

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/2/2009	7/31/2013
Active	Non Resident	Staff Adjuster	Property & Casualty	6/11/2021		7/31/2027
* 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
Staff Adjuster	05/15/2025	07/31/2025	05/02/2025	05/02/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/7/2010	3/27/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/7/2010	3/27/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/8/2009	3/27/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/8/2009	3/27/2012
Inactive	Humana Insurance Company	301104	Agent - Health	10/8/2009	3/27/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/8/2009	3/27/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/16/2011	2/24/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/8/2009	3/27/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	3/17/2010	3/27/2012