DEPARTMENT OF INSURANCE
Affiliations
NameJean-Marie, Dominique DOIID515534NAIC NPN2343021
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife10/13/20001/8/2009 
InactiveResidentAgentVariable Life and Variable Annuities7/29/20041/8/2009 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveEverlake Life Insurance Company300873Agent - Life11/14/20002/26/2008
InactiveGlenbrook Life and Annuity Company301384Agent - Life11/14/20001/1/2005
InactiveMetLife Investors USA Insurance Company300845Agent - Life10/13/20002/25/2008
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life12/4/20013/30/2008
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life10/20/20052/26/2008
InactiveTransamerica Life Insurance Company300571Agent - Life3/28/20011/8/2009
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities10/8/20041/8/2009
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactivePNC Insurance Services LLC400874Agent - Life5/24/20041/8/2009
InactivePNC Insurance Services LLC400874Agent - Variable Life and Variable Annuities2/23/20071/8/2009

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