DEPARTMENT OF INSURANCE
Affiliations
NameDornbusch, Douglas RogerDOIID324125NAIC NPN1889240
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty8/15/2000 8/31/2025
ActiveResidentAgentLife4/18/1989 8/31/2025
ActiveResidentAgentHealth4/18/1989 8/31/2025
ActiveResidentAgentCasualty8/15/2000 8/31/2025
InactiveResidentAgentGeneral Lines1/17/19898/15/2000 
InactiveResidentAgentHealth Maintenance Organization6/17/19983/1/2001 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAegis Security Insurance Company300492Agent - Casualty3/21/201711/7/2022
InactiveAegis Security Insurance Company300492Agent - Property3/21/201711/7/2022
InactiveAetna Health Inc.300694Agent - Health3/13/200112/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20079/22/2010
InactiveAetna Life Insurance Company301140Agent - Health3/13/20019/22/2010
InactiveAetna Life Insurance Company301140Agent - Life3/13/20019/22/2010
InactiveAlea North America Insurance Company301594Agent - Casualty12/27/20003/31/2002
InactiveAlea North America Insurance Company301594Agent - Property12/27/20003/31/2002
InactiveAllianz Life Insurance Company of North America301791Agent - Health5/6/199811/22/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life5/6/199811/22/2007
InactiveAmTrust Insurance Company300179Agent - General Lines4/13/19892/26/1996
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty11/6/200212/12/2003
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - General Lines1/17/19898/15/2000
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property11/6/200212/12/2003
ActiveAmerican Economy Insurance Company300315Agent - Casualty3/12/2024 
ActiveAmerican Economy Insurance Company300315Agent - Property3/12/2024 
ActiveAmerican Fire and Casualty Company300567Agent - Casualty3/13/2006 
ActiveAmerican Fire and Casualty Company300567Agent - Property3/13/2006 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty7/4/2020 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property7/4/2020 
InactiveAmerican Reliable Insurance Company301889Agent - Casualty8/16/200612/12/2007
InactiveAmerican Reliable Insurance Company301889Agent - Property8/16/200612/12/2007
ActiveAnthem Life Insurance Company301209Agent - Health12/21/2017 
ActiveAnthem Life Insurance Company301209Agent - Life12/21/2017 
InactiveAssurance Company of America300432Agent - Casualty8/15/200012/16/2014
InactiveAssurance Company of America300432Agent - General Lines10/20/19898/15/2000
InactiveAssurance Company of America300432Agent - Property8/15/200012/16/2014
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty2/9/2001 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property2/9/2001 
ActiveBanner Life Insurance Company301696Agent - Life7/29/2003 
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
InactiveBuckeye Union Insurance Company (The)300597Agent - General Lines2/5/19973/31/1998
InactiveCHA HMO, Inc.300662Agent - Health3/5/200412/10/2012
InactiveCeltic Insurance Company300877Agent - Health12/14/19933/31/1997
InactiveCeltic Insurance Company300877Agent - Life12/14/19933/31/1997
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty2/9/200112/5/2013
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property2/9/200112/5/2013
InactiveChase Insurance Life and Annuity Company300518Agent - Health3/5/20014/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life3/5/20014/1/2007
InactiveColumbus Life Insurance Company301227Agent - Life5/17/20171/11/2021
InactiveCommercial Insurance Company of Newark, New Jersey300328Agent - General Lines2/3/19973/31/1998
InactiveCompBenefits Dental, Inc.591692Agent - Health6/27/20087/14/2014
InactiveCompBenefits Insurance Company301864Agent - Health6/27/20087/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life6/27/20087/2/2013
InactiveConseco Insurance Company301202Agent - Life4/15/199810/1/2010
InactiveConseco Medical Insurance Company300719Agent - Health8/17/19934/27/1998
InactiveConseco Medical Insurance Company300719Agent - Life8/17/19934/27/1998
InactiveConsolidated Insurance Company300943Agent - Casualty9/8/20074/26/2024
InactiveConsolidated Insurance Company300943Agent - Property9/8/20074/26/2024
InactiveContinental Casualty Company301019Agent - Casualty11/6/200212/12/2003
InactiveContinental Casualty Company301019Agent - General Lines1/17/19898/15/2000
InactiveContinental Casualty Company301019Agent - Property11/6/200212/12/2003
InactiveContinental Insurance Company (The)301242Agent - Casualty8/15/20009/3/2002
InactiveContinental Insurance Company (The)301242Agent - General Lines2/5/19978/15/2000
InactiveContinental Insurance Company (The)301242Agent - Property8/15/20009/3/2002
ActiveDental Care Plus Inc.301495Agent - Health4/15/2007 
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20097/14/2014
ActiveErie Family Life Insurance Company301400Agent - Health9/1/2020 
ActiveErie Family Life Insurance Company301400Agent - Life3/1/2018 
ActiveErie Insurance Company300230Agent - Casualty3/1/2018 
ActiveErie Insurance Company300230Agent - Property3/1/2018 
ActiveErie Insurance Company of New York789916Agent - Casualty3/1/2018 
ActiveErie Insurance Company of New York789916Agent - Property3/1/2018 
ActiveErie Insurance Exchange300789Agent - Casualty3/1/2018 
ActiveErie Insurance Exchange300789Agent - Property3/1/2018 
ActiveErie Insurance Property & Casualty Company789942Agent - Casualty3/1/2018 
ActiveErie Insurance Property & Casualty Company789942Agent - Property3/1/2018 
InactiveFalls Lake National Insurance Company301796Agent - General Lines4/25/19966/29/2000
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty8/15/20007/12/2001
InactiveFarmers Property and Casualty Insurance Company301237Agent - General Lines8/24/19938/15/2000
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property8/15/20007/12/2001
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Health3/19/200110/28/2008
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life3/19/200111/24/2009
InactiveFidelity and Casualty Company of New York (The)300160Agent - Casualty8/15/20009/3/2002
InactiveFidelity and Casualty Company of New York (The)300160Agent - General Lines2/4/19978/15/2000
InactiveFidelity and Casualty Company of New York (The)300160Agent - Property8/15/20009/3/2002
InactiveFiremen's Insurance Company of Newark, New Jersey300247Agent - General Lines2/4/19973/31/1998
InactiveFirst Colony Life Insurance Company301179Agent - Life3/22/20011/1/2007
InactiveFirst National Insurance Company of America301690Agent - Casualty10/7/200810/15/2021
InactiveFirst National Insurance Company of America301690Agent - Property10/7/200810/15/2021
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health3/7/200112/23/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life3/7/200112/23/2008
ActiveFlagship City Insurance Company789965Agent - Casualty3/1/2018 
ActiveFlagship City Insurance Company789965Agent - Property3/1/2018 
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty7/29/201112/20/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property7/29/201112/20/2023
InactiveGeneral Insurance Company of America300261Agent - Casualty10/7/200810/15/2021
InactiveGeneral Insurance Company of America300261Agent - Property10/7/200810/15/2021
InactiveGenworth Life Insurance Company300623Agent - Health1/7/200612/8/2008
InactiveGenworth Life Insurance Company300623Agent - Life1/7/200612/8/2008
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health3/9/201012/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life10/20/201412/14/2016
InactiveGlens Falls Insurance Company (The)301922Agent - General Lines2/3/199712/30/1999
InactiveGreat American Alliance Insurance Company301247Agent - Casualty12/27/20004/29/2019
InactiveGreat American Alliance Insurance Company301247Agent - Property12/27/20004/29/2019
InactiveGreat American Assurance Company300327Agent - Casualty12/27/20004/29/2019
InactiveGreat American Assurance Company300327Agent - Property12/27/20004/29/2019
InactiveGreat American Insurance Company301586Agent - Casualty8/15/20004/29/2019
InactiveGreat American Insurance Company301586Agent - General Lines6/23/19978/15/2000
InactiveGreat American Insurance Company301586Agent - Property8/15/20004/29/2019
InactiveGreat American Insurance Company of New York301897Agent - Casualty12/27/20004/29/2019
InactiveGreat American Insurance Company of New York301897Agent - Property12/27/20004/29/2019
InactiveHartford Life and Accident Insurance Company300878Agent - Health8/17/200412/11/2009
InactiveHartford Life and Accident Insurance Company300878Agent - Life8/17/200412/11/2009
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20017/14/2014
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization6/17/19983/1/2001
InactiveHumana Insurance Company301104Agent - Health5/19/19987/14/2014
InactiveHumana Insurance Company301104Agent - Life5/19/19987/14/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/10/20047/14/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/10/20047/14/2014
InactiveHumanaDental Insurance Company301457Agent - Health4/9/201212/19/2012
InactiveHumanaDental Insurance Company301457Agent - Life4/9/201212/19/2012
InactiveIndiana Insurance Company301909Agent - Casualty9/8/20072/3/2023
InactiveIndiana Insurance Company301909Agent - Property9/8/20072/3/2023
InactiveInfinity Casualty Insurance Company301280Agent - General Lines8/3/19906/29/2000
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health6/23/19955/1/1997
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life6/23/19955/1/1997
InactiveKanawha Insurance Company300127Agent - Health4/11/20084/25/2013
InactiveKanawha Insurance Company300127Agent - Life4/11/20084/25/2013
InactiveKansas City Fire and Marine Insurance Company301936Agent - General Lines2/4/199712/30/1999
InactiveKentucky League of Cities Insurance Services Association300026Agent - Casualty5/28/200310/6/2005
InactiveKentucky League of Cities Insurance Services Association300026Agent - Property5/28/200310/6/2005
InactiveKentucky National Insurance Company301625Agent - General Lines2/2/19943/31/1996
InactiveLifeUSA Insurance Company300386Agent - Health5/6/19988/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life5/6/19988/2/2002
InactiveMaryland Casualty Company301719Agent - Casualty8/15/200012/16/2014
InactiveMaryland Casualty Company301719Agent - General Lines10/20/19898/15/2000
InactiveMaryland Casualty Company301719Agent - Property8/15/200012/16/2014
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life8/19/19983/16/2001
InactiveMetLife Investors USA Insurance Company300845Agent - Life1/11/201111/14/2014
InactiveMetropolitan General Insurance Company300709Agent - Casualty8/15/20007/12/2001
InactiveMetropolitan General Insurance Company300709Agent - General Lines8/24/19938/15/2000
InactiveMetropolitan General Insurance Company300709Agent - Property8/15/20007/12/2001
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty11/6/200212/12/2003
InactiveNational Fire Insurance Company of Hartford301063Agent - General Lines1/17/19898/15/2000
InactiveNational Fire Insurance Company of Hartford301063Agent - Property11/6/200212/12/2003
InactiveNetherlands Insurance Company (The)300339Agent - Casualty9/8/20074/26/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property9/8/20074/26/2024
InactiveNorth American Company for Life and Health Insurance300291Agent - Health1/23/199610/18/2005
InactiveNorth American Company for Life and Health Insurance300291Agent - Life6/11/20136/25/2019
InactiveNorthern Insurance Company of New York301317Agent - Casualty8/15/200012/16/2014
InactiveNorthern Insurance Company of New York301317Agent - General Lines10/20/19898/15/2000
InactiveNorthern Insurance Company of New York301317Agent - Property8/15/200012/16/2014
ActiveOhio Casualty Insurance Company301492Agent - Casualty3/13/2006 
ActiveOhio Casualty Insurance Company301492Agent - Property3/13/2006 
ActiveOhio Security Insurance Company300622Agent - Casualty8/15/2000 
InactiveOhio Security Insurance Company300622Agent - General Lines10/4/19998/15/2000
ActiveOhio Security Insurance Company300622Agent - Property8/15/2000 
InactivePacifiCare Life Assurance Company301082Agent - Health6/18/19987/31/2001
InactivePacifiCare Life Assurance Company301082Agent - Life6/18/19987/31/2001
ActivePeerless Indemnity Insurance Company571682Agent - Casualty9/8/2007 
ActivePeerless Indemnity Insurance Company571682Agent - Property9/8/2007 
ActivePeerless Insurance Company301910Agent - Casualty9/8/2007 
ActivePeerless Insurance Company301910Agent - Property9/8/2007 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Casualty1/19/2010 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Property1/19/2010 
InactivePrincipal Life Insurance Company300129Agent - Health2/23/199311/30/2003
InactivePrincipal Life Insurance Company300129Agent - Life2/23/199311/30/2003
InactiveProtective Life Insurance Company300638Agent - Health4/1/200712/16/2010
InactiveProtective Life Insurance Company300638Agent - Life4/1/200712/16/2010
InactivePruco Life Insurance Company300954Agent - Health10/7/200812/21/2022
InactivePruco Life Insurance Company300954Agent - Life10/7/200812/21/2022
InactiveReassure America Life Insurance Company301902Agent - Health4/18/19899/3/2004
InactiveReassure America Life Insurance Company301902Agent - Life4/18/19899/3/2004
InactiveReliaStar Life Insurance Company301712Agent - Health9/11/200910/5/2012
InactiveReliaStar Life Insurance Company301712Agent - Life9/11/200910/5/2012
ActiveSAFECO Insurance Company of America300159Agent - Casualty10/7/2008 
ActiveSAFECO Insurance Company of America300159Agent - Property10/7/2008 
ActiveSAFECO Insurance Company of Illinois301350Agent - Casualty8/25/2023 
ActiveSAFECO Insurance Company of Illinois301350Agent - Property8/25/2023 
InactiveSecurity Life of Denver Insurance Company300648Agent - Health9/11/20099/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Life9/11/20099/29/2012
InactiveSecurity National Insurance Company301151Agent - General Lines4/13/19892/26/1996
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty2/9/2001 
ActiveStandard Fire Insurance Company (The)301068Agent - Property2/9/2001 
InactiveStandard Insurance Company300185Agent - Health10/8/199112/5/2022
InactiveStandard Insurance Company300185Agent - Life10/8/199112/5/2022
InactiveT.H.E. Insurance Company301854Agent - Casualty10/18/20041/19/2012
InactiveT.H.E. Insurance Company301854Agent - Property10/18/20041/19/2012
InactiveTalcott Resolution Life Insurance Company301759Agent - Health8/17/20048/14/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Life8/17/20048/14/2009
ActiveThe Phoenix Insurance Company301502Agent - Casualty2/9/2001 
ActiveThe Phoenix Insurance Company301502Agent - Property2/9/2001 
InactiveTime Insurance Company300683Agent - Health2/9/200111/15/2002
InactiveTime Insurance Company300683Agent - Life2/9/200111/15/2002
InactiveTranscontinental Insurance Company301731Agent - Casualty8/15/200012/12/2003
InactiveTranscontinental Insurance Company301731Agent - General Lines1/17/19898/15/2000
InactiveTranscontinental Insurance Company301731Agent - Property8/15/200012/12/2003
InactiveTransportation Insurance Company301575Agent - Casualty8/15/200012/12/2003
InactiveTransportation Insurance Company301575Agent - General Lines1/17/19898/15/2000
InactiveTransportation Insurance Company301575Agent - Property8/15/200012/12/2003
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty9/3/200212/5/2013
InactiveTravelers Casualty Company of Connecticut301505Agent - Property9/3/200212/5/2013
InactiveTravelers Commercial Insurance Company301506Agent - Casualty2/9/200112/13/2001
InactiveTravelers Commercial Insurance Company301506Agent - Property2/9/200112/13/2001
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty7/18/2005 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property7/18/2005 
InactiveTravelers Indemnity Company (The)301855Agent - Casualty2/9/200112/5/2013
InactiveTravelers Indemnity Company (The)301855Agent - Property2/9/200112/5/2013
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty9/3/200212/5/2013
InactiveTravelers Property Casualty Insurance Company301508Agent - Property9/3/200212/5/2013
InactiveTrinity Universal Insurance Company300911Agent - General Lines4/13/19892/26/1996
InactiveU.S. Financial Life Insurance Company301812Agent - Health4/13/20019/5/2007
InactiveU.S. Financial Life Insurance Company301812Agent - Life4/13/20019/5/2007
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/10/200612/14/2009
InactiveUnitedHealthcare Insurance Company300946Agent - Life2/10/200612/14/2009
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health10/3/19953/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life10/3/19953/31/1997
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/10/200612/14/2009
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health2/10/200612/14/2009
ActiveUnitrin Auto and Home Insurance Company301538Agent - Casualty9/20/2012 
ActiveUnitrin Auto and Home Insurance Company301538Agent - Property9/20/2012 
InactiveUnitrin Preferred Insurance Company502869Agent - Casualty9/20/201212/2/2013
InactiveUnitrin Preferred Insurance Company502869Agent - Property9/20/201212/2/2013
InactiveWashington National Insurance Company300587Agent - Life10/1/201012/30/2010
ActiveWest American Insurance Company301112Agent - Casualty3/13/2006 
ActiveWest American Insurance Company301112Agent - Property3/13/2006 
InactiveWest Coast Life Insurance Company301607Agent - Health11/3/200911/16/2011
InactiveWest Coast Life Insurance Company301607Agent - Life11/3/200911/16/2011
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Health9/19/20072/16/2010
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life9/19/20072/16/2010
InactiveWilcac Life Insurance Company301573Agent - Health4/18/198911/17/2000
InactiveWilcac Life Insurance Company301573Agent - Life4/18/198911/17/2000
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDental Choice Agency Inc.398085Agent - Health1/29/2002 
ActiveDesignated Agent Company Inc.681257Agent - Life12/11/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/11/2013 
ActiveE. N. Dornbusch Agency Inc.398456Agent - Life6/9/1993 
ActiveE. N. Dornbusch Agency Inc.398456Agent - Health6/9/1993 
InactiveE. N. Dornbusch Agency Inc.398456Agent - General Lines6/9/19938/15/2000
ActiveE. N. Dornbusch Agency Inc.398456Agent - Property8/15/2000 
ActiveE. N. Dornbusch Agency Inc.398456Agent - Casualty8/15/2000 

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