DEPARTMENT OF INSURANCE
Affiliations
NameWalstad, Derek DOIID1115613NAIC NPN19704666
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth1/5/2021 8/31/2026
ActiveNon ResidentAgentLife1/5/2021 8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent06/15/202608/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFreedom Life Insurance Company of America300074Agent - Health1/13/20216/27/2024
InactiveFreedom Life Insurance Company of America300074Agent - Life1/13/20216/27/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUshealth Advisors Llc713288Agent - Life1/13/20216/27/2024
InactiveUshealth Advisors Llc713288Agent - Health1/13/20216/27/2024

© Commonwealth of Kentucky. All rights reserved.