DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dorman, Justin Kealoha	DOIID	1104832	NAIC NPN	17770102

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/13/2020		3/31/2027
Active	Non Resident	Agent	Property	10/13/2020		3/31/2027
* 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
Agent	01/15/2025	03/31/2025	02/07/2025	02/07/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Interstate Insurance Company	301092	Agent - Casualty	9/16/2024
Active	American Interstate Insurance Company	301092	Agent - Property	9/16/2024
Active	Atain Insurance Company	681449	Agent - Casualty	11/1/2022
Active	Atain Insurance Company	681449	Agent - Property	11/1/2022
Active	BusinessFirst Insurance Company	722488	Agent - Casualty	9/25/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Burns & Wilcox Ltd	525929	Agent - Casualty	7/28/2023
Active	Burns & Wilcox Ltd	525929	Agent - Property	7/28/2023