DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Domitz, Janice Sue	DOIID	323749	NAIC NPN	7169566

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	4/2/2002	12/31/2021
Inactive	Resident	Agent	Credit Personal Property & Unemployment	4/30/1997	8/7/2000
Inactive	Resident	Agent	Credit Life & Health	4/30/1997	8/7/2000
* 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
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Credit Personal Property & Unemployment	4/30/1997	8/7/2000
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Limited Line Credit	8/7/2000	10/20/2000
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Credit Life & Health	4/30/1997	8/7/2000
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Limited Line Credit	8/7/2000	10/20/2000
Inactive	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	4/2/2002	5/21/2020
Inactive	American Security Insurance Company	300901	Agent - Credit Personal Property & Unemployment	11/16/1999	8/7/2000
Inactive	American Security Insurance Company	300901	Agent - Limited Line Credit	8/7/2000	10/20/2000
Inactive	Merit Life Insurance Co.	300150	Agent - Limited Line Credit	7/13/2018	12/12/2018
Inactive	Pinnacle National Insurance Company	300698	Agent - Credit Personal Property & Unemployment	12/21/1999	8/7/2000
Inactive	Pinnacle National Insurance Company	300698	Agent - Limited Line Credit	8/7/2000	9/25/2000
Inactive	Standard Guaranty Insurance Company	300902	Agent - Credit Personal Property & Unemployment	11/16/1999	8/7/2000
Inactive	Standard Guaranty Insurance Company	300902	Agent - Limited Line Credit	8/7/2000	10/20/2000
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	5/2/2002	5/21/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Interstate Agency Inc	610890	Agent - Limited Line Credit	8/10/2018	2/21/2019
Inactive	Onemain Assurance Services LLC	751094	Agent - Limited Line Credit	7/26/2018	5/21/2020