DEPARTMENT OF INSURANCE
Affiliations
NameMommus, Dominique JrDOIID933633NAIC NPN17631582
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth10/9/2019 6/30/2027
ActiveNon ResidentAgentLife2/22/2021 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202506/30/202506/03/202506/03/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health3/22/20219/10/2022
InactiveAetna Health of Ohio Inc.1065035Agent - Health3/22/20219/10/2022
InactiveAetna Life Insurance Company301140Agent - Health3/22/20219/10/2022
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/24/2025 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/26/20217/19/2022
ActiveAnthem Insurance Companies, Inc.300941Agent - Health3/24/2025 
InactiveAnthem Life Insurance Company301209Agent - Health3/9/20217/19/2022
InactiveAnthem Life Insurance Company301209Agent - Life3/9/20217/19/2022
InactiveArcadian Health Plan, Inc.728196Agent - Health10/10/20221/14/2025
InactiveCIGNA Dental Health of Kentucky, Inc.300904Agent - Health10/1/20206/21/2021
InactiveCIGNA Health & Life Insurance Company301783Agent - Health10/1/20206/21/2021
InactiveCMFG Life Insurance Company300929Agent - Health2/25/20214/16/2021
InactiveCMFG Life Insurance Company300929Agent - Life2/25/20214/16/2021
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health3/19/2025 
InactiveCompBenefits Insurance Company301864Agent - Health10/10/20221/14/2025
ActiveCompcare Health Services Insurance Corporation948751Agent - Health3/24/2025 
InactiveConnecticut General Life Insurance Company301333Agent - Health10/1/20206/21/2021
InactiveDental Concern Inc. (The)301641Agent - Health5/5/20231/14/2025
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health4/7/2025 
InactiveFirst Health Life & Health Insurance Company301735Agent - Health10/25/20169/21/2017
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health3/29/20231/14/2025
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/17/20221/14/2025
InactiveHumana Health Plan, Inc.300142Agent - Health1/16/20241/14/2025
InactiveHumana Insurance Company301104Agent - Health10/10/20221/14/2025
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/8/20175/10/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health10/24/20221/14/2025
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/17/20221/14/2025
InactiveLife Insurance Company of North America300711Agent - Health10/1/20206/21/2021
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health3/27/2025 
InactiveSilverScript Insurance Company663526Agent - Health3/22/20219/10/2022
ActiveUnitedHealthcare Insurance Company300946Agent - Health3/19/2025 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health3/19/2025 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health1/17/20222/2/2023
InactiveWellCare Prescription Insurance Inc.654329Agent - Health3/31/20212/2/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHumana MarketPOINT Inc.398092Agent - Health6/2/20231/14/2025
DeniedHumana MarketPOINT Inc.398092Agent - Life  

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