DEPARTMENT OF INSURANCE
Affiliations
NameTeneyck, Derek BryantDOIID1229029NAIC NPN17374154
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty11/11/2022 1/31/2028
ActiveNon ResidentAgentCasualty11/11/2022 1/31/2028
ActiveNon ResidentAgentHealth9/12/2022 1/31/2028
ActiveNon ResidentAgentLife9/12/2022 1/31/2028
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCIGNA Health & Life Insurance Company301783Agent - Health10/14/20225/16/2023
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty12/12/2022 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property12/12/2022 
ActiveHomesite Insurance Company301139Agent - Casualty2/16/2024 
ActiveHomesite Insurance Company301139Agent - Property2/16/2024 
ActiveHomesite Insurance Company of the Midwest874850Agent - Casualty2/16/2024 
ActiveHomesite Insurance Company of the Midwest874850Agent - Property2/16/2024 
ActiveProgressive Direct Insurance Company301379Agent - Casualty11/15/2022 
ActiveProgressive Direct Insurance Company301379Agent - Property11/15/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveProgressive Advantage Agency , Inc.518222Agent - Casualty11/16/2022 
ActiveProgressive Advantage Agency , Inc.518222Agent - Property11/16/2022 

© Commonwealth of Kentucky. All rights reserved.