DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Southern, Dominique	DOIID	908299	NAIC NPN	17063692

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	2/11/2025		12/31/2026
Inactive	Non Resident	Agent	Casualty	2/29/2016	4/22/2020
Inactive	Non Resident	Agent	Property	2/29/2016	4/22/2020
* 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	10/15/2026	12/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	5/24/2017	3/11/2019
Active	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	3/13/2025
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	5/24/2017	3/11/2019
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	3/8/2016	11/9/2016
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	3/8/2016	11/9/2016
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	5/24/2017	3/11/2019
Active	USAA Casualty Insurance Company	300995	Agent - Personal Lines	3/13/2025
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	5/24/2017	3/11/2019
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	5/24/2017	3/11/2019
Active	USAA General Indemnity Company	300131	Agent - Personal Lines	3/13/2025
Inactive	USAA General Indemnity Company	300131	Agent - Property	5/24/2017	3/11/2019
Inactive	United Services Automobile Association	300158	Agent - Casualty	5/24/2017	3/11/2019
Active	United Services Automobile Association	300158	Agent - Personal Lines	3/13/2025
Inactive	United Services Automobile Association	300158	Agent - Property	5/24/2017	3/11/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Financial Insurance Services, Inc.	514710	Agent - Personal Lines	4/4/2025
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	3/15/2016	11/9/2016
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	3/15/2016	11/9/2016