DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Watson, Derick Glen	DOIID	1078170	NAIC NPN	19095111

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/16/2020	3/17/2022
Inactive	Non Resident	Agent	Life	3/16/2020	3/17/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/23/2020	3/17/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020	3/17/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/23/2020	3/17/2022
Inactive	American General Life Insurance Company	301585	Agent - Health	5/26/2020	3/17/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	5/26/2020	3/17/2022
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	7/4/2020	3/17/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/24/2020	3/17/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/8/2020	3/17/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/27/2020	1/4/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/27/2020	1/4/2022
Inactive	National Health Insurance Company	300554	Agent - Health	3/25/2020	3/25/2021
Inactive	National Health Insurance Company	300554	Agent - Life	3/25/2020	3/25/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/23/2020	3/17/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/26/2021	3/23/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/26/2021	3/23/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/26/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/26/2021	3/23/2022

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	3/25/2020	3/17/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/24/2020	3/17/2022
Inactive	Velapoint LLC	721963	Agent - Life	3/25/2020	4/9/2021
Inactive	Velapoint LLC	721963	Agent - Health	3/24/2020	4/9/2021