DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dumond, Derik J	DOIID	1353333	NAIC NPN	8358013

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/1/2024		6/30/2026
Active	Non Resident	Agent	Personal Lines	8/1/2024		6/30/2026
Active	Non Resident	Agent	Casualty	8/1/2024		6/30/2026
* 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	04/15/2026	06/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Zurich Insurance Company	300592	Agent - Casualty	8/14/2024
Active	American Zurich Insurance Company	300592	Agent - Property	8/14/2024
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Personal Lines	8/19/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Personal Lines LLC	715217	Agent - Casualty	8/16/2024
Active	Willis Personal Lines LLC	715217	Agent - Property	8/16/2024
Denied	Willis Personal Lines LLC	715217	Agent - Personal Lines
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Casualty	8/16/2024
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Property	8/16/2024
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Personal Lines	1/10/2025