DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Deroin, Susan	DOIID	1061037	NAIC NPN	19314333

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/15/2019		7/31/2027
Active	Non Resident	Agent	Life	10/15/2019		7/31/2027
* 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	06/13/2025	06/13/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	6/23/2025
Active	All Savers Insurance Company	301940	Agent - Life	6/23/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/2/2019	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/2/2019	4/15/2025
Pending Replacement	Dental Care Plus Inc.	301495	Agent - Health	4/22/2020
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	4/23/2020
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	4/23/2020
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	2/4/2020
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	2/4/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Health	6/6/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Life	6/6/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/23/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	6/23/2025
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/23/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/23/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	11/4/2019
Active	Designated Agent Company Inc.	681257	Agent - Health	11/4/2019
Active	Paychex Insurance Agency Inc	509469	Agent - Life	11/2/2019
Active	Paychex Insurance Agency Inc	509469	Agent - Health	11/2/2019