DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dordick, Lance A	DOIID	725380	NAIC NPN	416562

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/27/2010		8/31/2026
Active	Non Resident	Agent	Casualty	3/27/2010		8/31/2026
Active	Non Resident	Agent	Property	3/27/2010		8/31/2026
Active	Non Resident	Agent	Life	3/27/2010		8/31/2026
* 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	07/10/2024	07/10/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	6/18/2021	4/6/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	6/18/2021	4/6/2022
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/5/2010	4/19/2021
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/5/2010	4/19/2021
Inactive	Metropolitan Tower Life Insurance Company	300322	Agent - Life	3/26/2021	4/19/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Fx Insurance Agency, LLC	646184	Agent - Property
Denied	Fx Insurance Agency, LLC	646184	Agent - Casualty