DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	George, Dominique	DOIID	917829	NAIC NPN	17958106

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	6/8/2016	9/30/2018
Pending Replacement	Non Resident	Agent	Property	8/1/2025		9/30/2028
Pending Replacement	Non Resident	Agent	Casualty	8/1/2025		9/30/2028
Active	Non Resident	Staff Adjuster	Property & Casualty	9/23/2026		9/30/2028
* 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	07/15/2026	09/30/2026	08/01/2026	08/01/2026	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Bristol West Insurance Company	301655	Agent - Casualty	11/4/2025
Pending Replacement	Bristol West Insurance Company	301655	Agent - Property	11/4/2025
Pending Replacement	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	9/11/2025
Pending Replacement	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	9/11/2025
Pending Replacement	Farmers Insurance Exchange	300336	Agent - Casualty	9/11/2025
Pending Replacement	Farmers Insurance Exchange	300336	Agent - Property	9/11/2025
Pending Replacement	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/11/2025
Pending Replacement	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/11/2025
Pending Replacement	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/4/2025
Pending Replacement	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/4/2025
Pending Replacement	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/4/2025
Pending Replacement	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/4/2025
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	6/16/2016	7/6/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Fx Insurance Agency, LLC	646184	Agent - Casualty	9/11/2025
Pending Replacement	Fx Insurance Agency, LLC	646184	Agent - Property	9/11/2025
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Personal Lines	6/20/2016	7/6/2016