DEPARTMENT OF INSURANCE
Affiliations
NameWaller, Dominique La ToyaDOIID766216NAIC NPN16020662
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentPersonal Lines10/10/2011 6/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202506/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Personal Lines5/22/20149/3/2014
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Personal Lines10/10/20162/6/2024
InactiveGovernment Employees Insurance Company300376Agent - Personal Lines10/14/201112/15/2023
InactiveHomesite Insurance Company301139Agent - Personal Lines11/19/20124/9/2024
InactiveHomesite Insurance Company of the Midwest874850Agent - Personal Lines7/14/20174/9/2024
InactiveLM General Insurance Company300133Agent - Personal Lines11/1/20119/3/2014
InactiveLM Insurance Corporation301061Agent - Personal Lines11/1/20111/19/2024
InactiveLiberty Insurance Corporation300444Agent - Personal Lines11/1/20111/19/2024
InactiveLiberty Mutual Fire Insurance Company301913Agent - Personal Lines11/1/20111/19/2024
InactiveLiberty Mutual Insurance Company301159Agent - Personal Lines11/1/20111/19/2024
InactiveLiberty Mutual Personal Insurance Company959584Agent - Personal Lines8/6/20181/19/2024
InactiveRLI Insurance Company301217Agent - Personal Lines2/7/20172/5/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGeico Insurance Agency, LLC558517Agent - Personal Lines1/3/20124/9/2024

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