DEPARTMENT OF INSURANCE

Affiliations

Name	Henderson, Derrick Lydell	DOIID	1026808	NAIC NPN	17070087

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/10/2023		7/31/2025
Active	Non Resident	Agent	Property	1/10/2023		7/31/2025
Active	Non Resident	Agent	Health	4/12/2022		7/31/2025
Inactive	Non Resident	Agent	Life	8/4/2020	7/31/2021
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	9/29/2020	7/31/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/6/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/4/2021	7/31/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/6/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	5/6/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	9/29/2020	12/15/2020
Inactive	American General Life Insurance Company	301585	Agent - Health	4/26/2021	7/31/2021
Inactive	American General Life Insurance Company	301585	Agent - Life	4/26/2021	7/31/2021
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	4/9/2021	9/28/2021
Inactive	American Strategic Insurance Corp	883540	Agent - Property	4/9/2021	9/28/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/20/2022	9/29/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	4/20/2022	9/29/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/20/2022	9/29/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/15/2020	4/28/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/15/2020	4/28/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/8/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/20/2022	9/29/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/4/2021	7/31/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/4/2021	7/31/2021
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	3/30/2021	6/21/2021
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	3/30/2021	6/21/2021
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/30/2021	6/21/2021
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/30/2021	6/21/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	2/24/2021	7/31/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/27/2020	11/24/2020
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	1/6/2025
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	1/19/2023	1/30/2023
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	1/19/2023	1/30/2023
Active	SilverScript Insurance Company	663526	Agent - Health	5/6/2022
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	9/30/2020	7/31/2021
Active	Tier One Insurance Company	301056	Agent - Health	2/14/2025
Inactive	United Home Life Insurance Company	300421	Agent - Life	3/29/2021	7/31/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/8/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/13/2022	12/16/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/10/2020	9/27/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/8/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/30/2020	7/31/2021
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	4/14/2025	5/22/2025
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/30/2020	7/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Awl Insurance Agency Inc	945504	Agent - Casualty	4/26/2021	7/31/2021
Inactive	Awl Insurance Agency Inc	945504	Agent - Property	4/26/2021	7/31/2021
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	1/22/2023	1/30/2023
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	1/22/2023	1/30/2023
Inactive	Ttec Financial Services Management LLC	881063	Agent - Casualty	1/26/2023	1/30/2023
Inactive	Ttec Financial Services Management LLC	881063	Agent - Property	1/26/2023	1/30/2023