DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dombrowski, Danene	DOIID	1003765	NAIC NPN	17896277

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/4/2018	3/31/2020
Inactive	Non Resident	Agent	Life	8/4/2018	3/31/2020
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	11/14/2018	2/12/2019
Inactive	Federal Insurance Company	301144	Agent - Health	10/19/2018	3/31/2020
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	11/19/2018	3/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/19/2018	3/26/2019