DEPARTMENT OF INSURANCE

Affiliations

Name	Derdiger, Jeffrey	DOIID	1008845	NAIC NPN	2127861

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/10/2018	7/31/2026
Active	Non Resident	Agent	Health	9/10/2018	7/31/2026
* 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	05/15/2024	07/31/2024	06/04/2024	06/04/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/14/2018
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/30/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	12/14/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	12/14/2018
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	CompBenefits Insurance Company	301864	Agent - Health	3/13/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/30/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/30/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/14/2018	4/29/2019
Active	First Health Life & Health Insurance Company	301735	Agent - Health	12/14/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/30/2018	4/29/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/14/2018	4/29/2019
Active	Humana Insurance Company	301104	Agent - Health	2/28/2022
Inactive	Humana Insurance Company	301104	Agent - Life	10/30/2018	4/29/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/14/2018	4/29/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/14/2018	4/29/2019
Active	SilverScript Insurance Company	663526	Agent - Health	10/17/2019
Active	Tier One Insurance Company	301056	Agent - Life	5/24/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	2/12/2022	1/23/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/28/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/28/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/28/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/28/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/18/2019	12/29/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Marsh & Mclennan Agency LLC	716460	Agent - Health	1/13/2019
Active	Marsh & Mclennan Agency LLC	716460	Agent - Life	1/13/2019