DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ansley, Dominic Faro	DOIID	1071375	NAIC NPN	19400472

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/21/2020		1/31/2025
Active	Non Resident	Agent	Casualty	1/21/2020		1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	National Specialty Insurance Company	300993	Agent - Casualty	5/3/2022
Active	National Specialty Insurance Company	300993	Agent - Property	5/3/2022
Active	Next Insurance US Company	1083825	Agent - Casualty	5/10/2022
Active	Next Insurance US Company	1083825	Agent - Property	5/10/2022
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	5/3/2022
Active	State National Insurance Company, Inc.	300888	Agent - Property	5/3/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Next First Insurance Agency, Inc.	1065117	Agent - Casualty	9/9/2022
Active	Next First Insurance Agency, Inc.	1065117	Agent - Property	9/9/2022
Active	Next Ins Inc	908040	Agent - Casualty	9/9/2022
Active	Next Ins Inc	908040	Agent - Property	9/9/2022