DEPARTMENT OF INSURANCE

Affiliations

Name	Mcclellon, Derek Wayne	DOIID	378963	NAIC NPN	7204162

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	2/20/2009	1/31/2026
Active	Resident	Agent	Life	10/24/2008	1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/22/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/28/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/6/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	1/28/2019
Active	Aetna Life Insurance Company	301140	Agent - Life	1/28/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	8/6/2019	12/6/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/22/2017	6/22/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/22/2017	6/22/2018
Active	American General Life Insurance Company	301585	Agent - Health	1/16/2025
Active	American General Life Insurance Company	301585	Agent - Life	1/16/2025
Active	American National Insurance Company	301861	Agent - Life	12/14/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	4/29/2002	9/16/2003
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	4/29/2002	9/16/2003
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	5/22/2019
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	5/22/2019
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/23/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/23/2022	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/23/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/15/2019	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/15/2019	12/10/2020
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	8/7/2023
Inactive	Athene Annuity and Life Company	301893	Agent - Life	7/27/2017	12/20/2021
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	11/3/2016	11/12/2020
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	11/3/2016	11/12/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	11/3/2016	11/12/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	11/3/2016	11/12/2020
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/19/2013	1/19/2015
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/18/2022	2/17/2025
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	6/3/2002	3/31/2004
Inactive	Columbian Life Insurance Company	300810	Agent - Life	4/19/2018	5/10/2024
Inactive	Combined Insurance Company of America	301472	Agent - Health	2/29/2016	10/31/2016
Inactive	Combined Insurance Company of America	301472	Agent - Life	2/29/2016	10/31/2016
Active	CompBenefits Insurance Company	301864	Agent - Health	7/24/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/23/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/6/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/17/2023	12/12/2024
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/14/2017	1/20/2020
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	11/25/2022	10/23/2023
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	12/6/2021	9/16/2024
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	12/6/2021	9/16/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/21/2025
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/5/2022	12/13/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/25/2020	4/19/2022
Active	Humana Insurance Company	301104	Agent - Health	8/7/2023
Inactive	Humana Insurance Company	301104	Agent - Life	2/15/2019	3/3/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/21/2016	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/21/2016	4/10/2018
Active	Humana Medical Plan, Inc.	801568	Agent - Health	7/24/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	5/5/2022	12/13/2022
Inactive	IA American Life Insurance Company	301149	Agent - Life	11/21/1996	2/17/1998
Inactive	Independent Order of Foresters	300743	Agent - Health	6/16/2021	12/24/2024
Inactive	Independent Order of Foresters	300743	Agent - Life	6/16/2021	12/24/2024
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	11/28/2022	10/8/2023
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	11/28/2022	10/8/2023
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	4/23/2018	3/6/2023
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	4/23/2018	3/6/2023
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Health	9/8/2022	12/20/2022
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	11/3/2016	12/20/2022
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	4/1/2010	4/26/2011
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	4/1/2010	4/26/2011
Inactive	Loyal Christian Benefit Association	300958	Agent - Health	10/8/2015	5/15/2019
Inactive	Loyal Christian Benefit Association	300958	Agent - Life	11/24/2014	2/20/2015
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	3/19/2001	3/25/2003
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	8/23/2018	10/28/2020
Inactive	Medico Insurance Company	301559	Agent - Health	3/4/2013	12/26/2014
Inactive	Medico Insurance Company	301559	Agent - Life	3/4/2013	12/26/2014
Inactive	Midland National Life Insurance Company	300923	Agent - Life	12/30/1996	4/27/1998
Active	Minnesota Life Insurance Company	300488	Agent - Health	12/9/2022
Active	Minnesota Life Insurance Company	300488	Agent - Life	12/9/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/17/2016	6/21/2016
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	6/27/2013	5/29/2014
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/27/2013	5/29/2014
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	1/22/2002	3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	1/22/2002	3/31/2003
Inactive	Omaha Insurance Company	751908	Agent - Health	3/17/2016	6/21/2016
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	8/10/2010	11/5/2011
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	3/11/2013	2/27/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	3/11/2013	2/27/2016
Inactive	Reserve National Insurance Company	301073	Agent - Health	2/14/2013	2/10/2016
Inactive	Reserve National Insurance Company	301073	Agent - Life	2/14/2013	2/10/2016
Inactive	Royal Neighbors of America	301646	Agent - Life	8/17/2015	11/24/2016
Inactive	Security Life Insurance Company of America	300936	Agent - Life	9/9/1997	6/5/1998
Active	SilverScript Insurance Company	663526	Agent - Health	8/27/2019
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	7/23/2013	3/22/2019
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	7/23/2013	3/22/2019
Inactive	Sterling Life Insurance Company	301947	Agent - Health	10/6/2010	1/17/2011
Inactive	Sterling Life Insurance Company	301947	Agent - Life	10/6/2010	1/17/2011
Active	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	2/7/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	1/6/2023
Active	Transamerica Life Insurance Company	300571	Agent - Life	1/6/2023
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/11/2019	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/11/2019	10/1/2020
Inactive	Trinity Life Insurance Company	552459	Agent - Life	7/29/2019	11/3/2022
Inactive	Union Central Life Insurance Company	300307	Agent - Life	6/3/2002	4/3/2003
Inactive	United American Insurance Company	300910	Agent - Health	5/6/2019	3/2/2021
Inactive	United American Insurance Company	300910	Agent - Life	5/6/2019	3/2/2021
Active	United Home Life Insurance Company	300421	Agent - Life	12/21/2022
Inactive	United States Fire Insurance Company	582240	Agent - Health	8/22/2022	12/27/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	5/15/2019	10/22/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/22/2023	2/22/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/22/2023	2/22/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/18/2022	2/17/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/18/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/18/2022	2/17/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/13/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/26/2022
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	1/15/2014	10/1/2014
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	1/15/2014	10/1/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornerstone Senior Services LLC	399590	Agent - Life	5/10/2001	9/19/2001
Inactive	Cornerstone Senior Services LLC	399590	Agent - Health	5/10/2001	9/19/2001
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/15/2019	12/11/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/15/2019	12/11/2020
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	5/7/2020	8/23/2022
Active	Mcclellon Insurance LLC	1206326	Agent - Life	5/20/2022
Active	Mcclellon Insurance LLC	1206326	Agent - Health	5/20/2022
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Life	6/16/2017
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Health	6/16/2017