DEPARTMENT OF INSURANCE
Affiliations
NameDommasch, Shirley MarieDOIID645844NAIC NPN3028926
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty12/11/20061/9/2015 
InactiveNon ResidentAgentLife12/11/20061/9/2015 
InactiveNon ResidentAgentProperty12/11/20061/9/2015 
InactiveNon ResidentAgentPersonal Lines1/6/20121/9/2015 
* 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
InactiveAIG Property Casualty Company300621Agent - Casualty3/5/20145/1/2014
InactiveAIG Property Casualty Company300621Agent - Property3/5/20145/1/2014
InactiveAmerican Family Home Insurance Company301817Agent - Casualty2/4/20146/9/2014
InactiveAmerican Family Home Insurance Company301817Agent - Property2/4/20146/9/2014
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty2/4/20146/9/2014
InactiveAmerican Modern Home Insurance Company300791Agent - Property2/4/20146/9/2014
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty2/4/20146/9/2014
InactiveAmerican Modern Select Insurance Company581481Agent - Property2/4/20146/9/2014
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty2/4/20146/9/2014
InactiveAmerican Southern Home Insurance Company626276Agent - Property2/4/20146/9/2014
InactiveAthene Annuity & Life Assurance Company301798Agent - Life1/14/20098/12/2010
InactiveCentral States Indemnity Company of Omaha300285Agent - Casualty11/30/20108/23/2013
InactiveCentral States Indemnity Company of Omaha300285Agent - Property11/30/20108/23/2013
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty3/29/20105/13/2014
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property3/29/20105/13/2014
InactiveGovernment Employees Insurance Company300376Agent - Casualty12/28/20064/7/2014
InactiveGovernment Employees Insurance Company300376Agent - Personal Lines1/11/20124/7/2014
InactiveGovernment Employees Insurance Company300376Agent - Property12/28/20064/7/2014
InactiveHomesite Insurance Company301139Agent - Casualty5/6/20145/12/2014
InactiveHomesite Insurance Company301139Agent - Property5/6/20145/12/2014
InactiveKodiak Insurance Company679060Agent - Casualty6/15/20113/9/2012
InactiveKodiak Insurance Company679060Agent - Property6/15/20113/9/2012
InactiveLM General Insurance Company300133Agent - Casualty3/19/20104/18/2014
InactiveLM General Insurance Company300133Agent - Property3/19/20104/18/2014
InactiveLM Insurance Corporation301061Agent - Casualty3/19/20104/18/2014
InactiveLM Insurance Corporation301061Agent - Property3/19/20104/18/2014
InactiveLiberty Insurance Corporation300444Agent - Casualty1/5/20104/18/2014
InactiveLiberty Insurance Corporation300444Agent - Property1/5/20104/18/2014
InactiveLiberty Mutual Fire Insurance Company301913Agent - Casualty6/11/20094/18/2014
InactiveLiberty Mutual Fire Insurance Company301913Agent - Property6/11/20094/18/2014
InactiveLiberty Mutual Insurance Company301159Agent - Casualty6/11/20094/18/2014
InactiveLiberty Mutual Insurance Company301159Agent - Property6/11/20094/18/2014
InactiveStillwater Insurance Company567181Agent - Casualty3/17/20102/28/2014
InactiveStillwater Insurance Company567181Agent - Property3/17/20102/28/2014
InactiveTower Insurance Company of New York624823Agent - Casualty6/15/201110/2/2014
InactiveTower Insurance Company of New York624823Agent - Property6/15/201110/2/2014
InactiveTower National Insurance Company300972Agent - Casualty6/15/201110/2/2014
InactiveTower National Insurance Company300972Agent - Property6/15/201110/2/2014
InactiveTransamerica Life Insurance Company300571Agent - Life4/12/20109/8/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGeico Insurance Agency, LLC558517Agent - Casualty1/3/200710/2/2014
InactiveGeico Insurance Agency, LLC558517Agent - Life2/19/20099/8/2014
InactiveGeico Insurance Agency, LLC558517Agent - Property1/3/200710/2/2014
InactiveGeico Insurance Agency, LLC558517Agent - Personal Lines1/11/20124/7/2014

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