DEPARTMENT OF INSURANCE

Affiliations

Name	Deruyter, Rachel Ann	DOIID	1014643	NAIC NPN	17721117

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	10/12/2018	5/31/2025
Pending Replacement	Non Resident	Agent	Life	10/12/2018	5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Accendo Insurance Company	300312	Agent - Life	8/10/2022
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	5/20/2021
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/20/2021
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	5/20/2021
Pending Replacement	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/24/2020
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/24/2021	12/19/2024
Pending Replacement	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/15/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/24/2020	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/24/2020	12/16/2024
Pending Replacement	Arcadian Health Plan, Inc.	728196	Agent - Health	3/21/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	5/28/2024
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/21/2021	12/13/2022
Pending Replacement	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/17/2021
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/10/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/19/2021	12/12/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/23/2023	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	2/3/2021	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/16/2021	12/13/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	5/31/2019	12/19/2019
Pending Replacement	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/14/2022
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	5/20/2021
Inactive	Unified Life Insurance Company	543169	Agent - Health	5/21/2019	10/21/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/13/2021	5/28/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/13/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/13/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/13/2021	5/28/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/4/2021	3/2/2025
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/17/2019	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/19/2018	5/8/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/19/2018	2/10/2025
Inactive	Rad Productions	1101087	Agent - Life	9/29/2020	3/31/2024
Inactive	Rad Productions	1101087	Agent - Health	9/29/2020	3/31/2024