DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Casillas, Derick Alexander	DOIID	1005797	NAIC NPN	17342991

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/20/2018		7/31/2024
Active	Non Resident	Agent	Casualty	8/20/2018		7/31/2024
* 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	05/15/2024	07/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/27/2018	7/14/2022
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	8/27/2018	7/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	10/30/2018	7/14/2022
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	10/30/2018	7/14/2022