DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cupp-Burke, Derek	DOIID	1150826	NAIC NPN	20017985

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	1/17/2022		8/31/2028
Active	Non Resident	Agent	Health	8/11/2021		8/31/2028
* 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	9/1/2021	8/31/2026
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/1/2021	8/31/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/1/2021	8/31/2026
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Health	9/9/2021	9/15/2021
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	2/21/2022	10/12/2026
Inactive	Humana Insurance Company	301104	Agent - Health	9/1/2023	12/12/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/1/2021	8/31/2026
Inactive	USAA Casualty Insurance Company	300995	Agent - Health	9/9/2021	9/15/2021
Inactive	USAA Casualty Insurance Company	300995	Agent - Personal Lines	2/21/2022	10/12/2026
Inactive	USAA General Indemnity Company	300131	Agent - Health	9/9/2021	9/15/2021
Inactive	USAA General Indemnity Company	300131	Agent - Personal Lines	2/21/2022	10/12/2026
Inactive	USAA Life Insurance Company	300734	Agent - Health	7/20/2022	10/12/2026
Inactive	United Services Automobile Association	300158	Agent - Health	9/9/2021	9/15/2021
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	2/21/2022	10/12/2026
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/15/2022	4/6/2026
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/4/2021	4/6/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TTEC Healthcare Solutions, Inc.	814587	Agent - Health	10/22/2021	10/12/2026
Inactive	Ttec Financial Services Management LLC	881063	Agent - Personal Lines	3/17/2022	8/17/2026