DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dominguez, Ida	DOIID	703615	NAIC NPN	6842055

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/9/2016		8/31/2024
Active	Non Resident	Agent	Property	11/9/2016		8/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	NCMIC Insurance Company	301007	Agent - Casualty	2/2/2017	1/16/2019
Inactive	Professional Solutions Insurance Company	569414	Agent - Casualty	11/21/2016	12/15/2023
Inactive	Professional Solutions Insurance Company	569414	Agent - Property	11/21/2016	12/15/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	NCMIC Insurance Services, Inc.	399052	Agent - Property	2/2/2017	12/15/2023
Inactive	NCMIC Insurance Services, Inc.	399052	Agent - Casualty	2/2/2017	1/31/2019
Inactive	Professional Solutions Insurance Services, Inc	631015	Agent - Property	11/30/2016	1/31/2019
Inactive	Professional Solutions Insurance Services, Inc	631015	Agent - Casualty	11/30/2016	1/31/2019
Denied	Seabury & Smith Inc	394854	Agent - Property
Denied	Seabury & Smith Inc	394854	Agent - Casualty