DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ross, Dominique	DOIID	1291435	NAIC NPN	20753509

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/14/2023		3/31/2026
Active	Non Resident	Agent	Property	5/22/2024		3/31/2026
Active	Non Resident	Agent	Casualty	5/22/2024		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/7/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/7/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/7/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/14/2023	11/14/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/14/2023	11/14/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/14/2023	11/14/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/14/2023	11/14/2023
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	5/25/2024	4/23/2025
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	5/25/2024	4/23/2025
Active	SilverScript Insurance Company	663526	Agent - Health	9/7/2023
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	5/25/2024	4/23/2025
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	5/25/2024	4/23/2025
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	5/25/2024	4/23/2025
Inactive	USAA General Indemnity Company	300131	Agent - Property	5/25/2024	4/23/2025
Inactive	United Services Automobile Association	300158	Agent - Casualty	5/25/2024	4/23/2025
Inactive	United Services Automobile Association	300158	Agent - Property	5/25/2024	4/23/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ins Dialogue Agency LLC	798353	Agent - Casualty	3/14/2025	4/23/2025
Inactive	Ins Dialogue Agency LLC	798353	Agent - Property	3/14/2025	4/23/2025