DEPARTMENT OF INSURANCE
Affiliations
NameLopez, Dominic TDOIID940726NAIC NPN17766455
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities12/29/2016 2/28/2026
ActiveNon ResidentAgentHealth12/29/2016 2/28/2026
ActiveNon ResidentAgentLife12/29/2016 2/28/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Life2/2/2021 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities2/2/2021 
ActiveJackson National Life Insurance Company300486Agent - Life1/20/2017 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities1/20/2017 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health1/12/2017 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life1/12/2017 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities1/12/2017 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveMerrill Lynch Life Agency Inc.400527Agent - Health1/12/2017 
ActiveMerrill Lynch Life Agency Inc.400527Agent - Life1/20/2017 
ActiveMerrill Lynch Life Agency Inc.400527Agent - Variable Life and Variable Annuities1/20/2017 

© Commonwealth of Kentucky. All rights reserved.