DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dominioni, Henry	DOIID	1337435	NAIC NPN	21115351

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/26/2024		6/30/2027
Active	Non Resident	Agent	Property	4/26/2024		6/30/2027
* 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	04/15/2025	06/30/2025	05/01/2025	05/01/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	6/11/2024
Active	Hartford Fire Insurance Company	300628	Agent - Property	6/11/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AssuredPartners New England Inc.	533009	Agent - Casualty	6/11/2024
Active	AssuredPartners New England Inc.	533009	Agent - Property	6/11/2024