black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DOMINIQUE SHUNTAYE JACKSON

PRODUCER NON-RESIDENT

License Number:
PRN423158
Status:
First Licensure:
07/07/2022
Cancel Date:
None

Mailing:
ARLINGTON, TX 76017
Phone:
+1 (318) 518-7571
Email:
djackson35@chewy.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/07/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
CHEWY INSURANCE SERVICES, LLC
07/07/2022 AGN408392

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN PET INSURANCE COMPANY
03/15/2023 PCF204502 06/23/2023
AMERICAN PET INSURANCE COMPANY
07/25/2023 PCF204502
METROMILE INSURANCE COMPANY
02/16/2024 PCF910

Authority

Description Issue Date Termination Date Status
CASUALTY 07/07/2022 Active
PROPERTY 07/07/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20385155

Other Addresses

Address Type
ARLINGTON, TX 76017
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 04/08/2026 05:26:12 AM