DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Derrick David	DOIID	1119539	NAIC NPN	2665134

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/4/2021		7/31/2027
Active	Non Resident	Agent	Health	2/4/2021		7/31/2027
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/9/2024	9/19/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/3/2021	3/4/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/9/2024	9/19/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/9/2024	9/19/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/9/2024	9/19/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/3/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	2/11/2021	8/19/2024
Active	CompBenefits Insurance Company	301864	Agent - Health	9/23/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/9/2024	9/19/2024
Active	Dental Concern Inc. (The)	301641	Agent - Health	4/21/2023
Active	Emphesys Insurance Company	300598	Agent - Health	10/6/2025
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/4/2021	12/13/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/4/2021	12/13/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/4/2022
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/14/2022
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/28/2023
Active	Humana Insurance Company	301104	Agent - Health	9/23/2022
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/3/2022
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/26/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/27/2023	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	5/15/2024
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	6/2/2023	12/13/2024
Active	Humana MarketPOINT Inc.	398092	Agent - Health	6/2/2023