DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Marshall, Dominicia Devion	DOIID	963091	NAIC NPN	18490549

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/8/2017		8/31/2025
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	6/15/2018	4/6/2023
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/19/2019	4/6/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/7/2019	4/6/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/15/2018	4/6/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/21/2018	4/6/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/19/2018	4/6/2023
Inactive	Humana Insurance Company	301104	Agent - Health	6/15/2018	4/6/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/19/2018	4/6/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/15/2018	4/6/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	6/15/2018	4/6/2023
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/11/2017	12/19/2017
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/20/2023	3/27/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/20/2023	3/27/2024

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	6/18/2019	4/6/2023