PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameU.S. Marine Insurance Group LLCDOIID1333903NAIC NPN17791427
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty4/8/2024 3/31/2028
ActiveNon ResidentAgentProperty4/8/2024 3/31/2028
ActiveNon ResidentIndependent AdjusterProperty & Casualty3/12/2025 3/31/2028
ActiveNon ResidentSurplus Lines BrokerNot Applicable6/17/2024 3/31/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/202602/10/202602/10/2026Yes
Independent Adjuster01/15/202603/31/202601/07/202601/07/2026Yes
Surplus Lines Broker01/15/202603/31/202602/10/202602/10/2026Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAGCS Marine Insurance Company300403Agent - Casualty3/3/2025 
ActiveAGCS Marine Insurance Company300403Agent - Property3/3/2025 
ActiveMarkel American Insurance Company300377Agent - Casualty9/15/2025 
ActiveMarkel American Insurance Company300377Agent - Property9/15/2025 
ActiveXL Specialty Insurance Company301605Agent - Casualty9/18/2025 
ActiveXL Specialty Insurance Company301605Agent - Property9/18/2025 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
PendingBell, Dexter David 1435519Agent - Casualty  
PendingBell, Dexter David 1435519Agent - Property  
PendingBrooks, David Vincent 1440828Agent - Casualty  
PendingBrooks, David Vincent 1440828Agent - Property  
PendingBurgess, Robert K 1441298Agent - Casualty  
PendingBurgess, Robert K 1441298Agent - Property  
PendingCanevello, Michael 1436281Agent - Casualty  
PendingCanevello, Michael 1436281Agent - Property  
ActiveDipaola, Joseph 1327640Agent - Casualty4/8/2024 
ActiveDipaola, Joseph 1327640Agent - Property4/8/2024 
PendingDomitrovich, Gina Irene 1441838Agent - Casualty  
PendingDomitrovich, Gina Irene 1441838Agent - Property  
PendingJakusz, Melanie 992252Agent - Casualty  
PendingJakusz, Melanie 992252Agent - Property  
ActiveJakusz, Melanie 992252Independent Adjuster - Property & Casualty1/30/2026 
PendingMontez, Christopher Rich 1436282Agent - Casualty  
PendingMontez, Christopher Rich 1436282Agent - Property  
ActiveSmith, Derrek 1341988Surplus Lines Broker - Not Applicable6/17/2024 
ActiveWerchadlo, Katie 1370528Independent Adjuster - Property & Casualty3/12/2025 
PendingZimmerman, Virginia Rebecca 1436010Agent - Casualty  
PendingZimmerman, Virginia Rebecca 1436010Agent - Property  

© Commonwealth of Kentucky. All rights reserved.