DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Domonic Dewayne	DOIID	1285301	NAIC NPN	20772461

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/13/2023		5/31/2026
Active	Non Resident	Agent	Property	7/13/2023		5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/25/2023	5/20/2024
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/25/2023	5/20/2024
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/25/2023	5/20/2024
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/25/2023	5/20/2024
Inactive	American National Property and Casualty Company	300392	Agent - Casualty	10/5/2023	5/28/2024
Inactive	American National Property and Casualty Company	300392	Agent - Property	10/5/2023	5/28/2024
Active	Homesite Insurance Company	301139	Agent - Casualty	12/12/2023
Active	Homesite Insurance Company	301139	Agent - Property	12/12/2023
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	12/12/2023
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	12/12/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Multifamily Internet Ventures, LLC	638890	Agent - Casualty	11/10/2023	11/25/2024
Inactive	Multifamily Internet Ventures, LLC	638890	Agent - Property	11/10/2023	11/25/2024