DEPARTMENT OF INSURANCE

Affiliations

Name	Jordan, Derrick	DOIID	1128373	NAIC NPN	19858809

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/7/2021		1/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2025	01/31/2026

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	9/13/2021	9/10/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/13/2021	9/10/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/13/2021	9/10/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/7/2021	10/23/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	10/23/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	10/23/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	7/11/2023
Active	CHA HMO, Inc.	300662	Agent - Health	12/18/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	7/11/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	10/23/2023
Active	Emphesys Insurance Company	300598	Agent - Health	6/10/2025
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/7/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/12/2023
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/28/2023
Active	Humana Insurance Company	301104	Agent - Health	7/11/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	7/11/2023
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/12/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/13/2021	9/10/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/11/2021	7/8/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	4/11/2021	7/8/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/11/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/11/2021	7/8/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/17/2022	6/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Humana MarketPOINT Inc.	398092	Agent - Health	10/11/2023