DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Vernon, Dora Maya	DOIID	1332914	NAIC NPN	21103598

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/2/2024		8/31/2025
Active	Non Resident	Agent	Casualty	4/2/2024		8/31/2025
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	4/10/2024	10/18/2024
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	4/10/2024	10/18/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Atlas Ins Agcy Inc	523813	Agent - Casualty	4/10/2024	10/18/2024
Inactive	Atlas Ins Agcy Inc	523813	Agent - Property	4/10/2024	10/18/2024