DEPARTMENT OF INSURANCE

Affiliations

Name	Mabry, Derek Anthony	DOIID	1159131	NAIC NPN	17413996

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/16/2021	9/30/2027
Active	Non Resident	Agent	Health	9/16/2021	9/30/2027
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/28/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/28/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	9/28/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/21/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/21/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/21/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/21/2021	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/21/2021	4/15/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/4/2021	2/12/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	10/4/2021	2/12/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/21/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	8/11/2023
Active	Golden Rule Insurance Company	301943	Agent - Life	8/11/2023
Active	Humana Insurance Company	301104	Agent - Health	10/27/2021
Active	SilverScript Insurance Company	663526	Agent - Health	9/28/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/12/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/12/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/12/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/12/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/13/2023
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/13/2023