DEPARTMENT OF INSURANCE

Name	Dominguez, Leticia Gay	DOIID	316817	NAIC NPN	7164020

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	8/20/1999	8/15/2000
Inactive	Resident	Agent	Life	10/12/2001	11/1/2009
Inactive	Resident	Agent	Property	8/15/2000	11/1/2009
Inactive	Resident	Agent	Health	10/12/2001	11/1/2009
Inactive	Resident	Agent	Casualty	8/15/2000	11/1/2009

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	Preferred Benefits, LLC 21 Theatre Square Suite 200Louisville, KY 40202

Internet Information

Type	Address
Internet	www.pbllc.net

Phone Information

Type	Phone
Business / Home Office	(502) 657-0156
Fax	(502) 254-4045