DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ross, Dominique	DOIID	1291435	NAIC NPN	20753509

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/14/2023		3/31/2026
Active	Non Resident	Agent	Property	5/22/2024		3/31/2026
Active	Non Resident	Agent	Casualty	5/22/2024		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/7/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/7/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/7/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/14/2023	11/14/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/14/2023	11/14/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/14/2023	11/14/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/14/2023	11/14/2023
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	5/25/2024	4/23/2025
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	5/25/2024	4/23/2025
Active	SilverScript Insurance Company	663526	Agent - Health	9/7/2023
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	5/25/2024	4/23/2025
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	5/25/2024	4/23/2025
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	5/25/2024	4/23/2025
Inactive	USAA General Indemnity Company	300131	Agent - Property	5/25/2024	4/23/2025
Inactive	United Services Automobile Association	300158	Agent - Casualty	5/25/2024	4/23/2025
Inactive	United Services Automobile Association	300158	Agent - Property	5/25/2024	4/23/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ins Dialogue Agency LLC	798353	Agent - Casualty	3/14/2025	4/23/2025
Inactive	Ins Dialogue Agency LLC	798353	Agent - Property	3/14/2025	4/23/2025