DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Domenique	DOIID	1222104	NAIC NPN	20385264

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Personal Lines	1/5/2023		5/31/2025
Pending Replacement	Non Resident	Agent	Health	8/9/2022		5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	8/23/2022
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/23/2022
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	8/23/2022
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	1/7/2023	6/28/2023
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	8/23/2022
Inactive	USAA Casualty Insurance Company	300995	Agent - Personal Lines	1/7/2023	6/28/2023
Inactive	USAA General Indemnity Company	300131	Agent - Personal Lines	1/7/2023	6/28/2023
Inactive	USAA Life Insurance Company	300734	Agent - Health	8/31/2022	6/28/2023
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	1/7/2023	6/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Financial Services Management LLC	881063	Agent - Personal Lines	3/1/2023	6/28/2023
Inactive	Ttec Healthcare Solutions, Inc.	814587	Agent - Health	9/9/2022	6/24/2024