DEPARTMENT OF INSURANCE

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		8/31/2026
Active	Non Resident	Agent	Health	8/11/2021		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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024	07/16/2024	07/16/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/1/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/1/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	9/1/2021
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Health	9/9/2021	9/15/2021
Active	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	2/21/2022
Active	Humana Insurance Company	301104	Agent - Health	9/1/2023
Active	SilverScript Insurance Company	663526	Agent - Health	9/1/2021
Inactive	USAA Casualty Insurance Company	300995	Agent - Health	9/9/2021	9/15/2021
Active	USAA Casualty Insurance Company	300995	Agent - Personal Lines	2/21/2022
Inactive	USAA General Indemnity Company	300131	Agent - Health	9/9/2021	9/15/2021
Active	USAA General Indemnity Company	300131	Agent - Personal Lines	2/21/2022
Active	USAA Life Insurance Company	300734	Agent - Health	7/20/2022
Inactive	United Services Automobile Association	300158	Agent - Health	9/9/2021	9/15/2021
Active	United Services Automobile Association	300158	Agent - Personal Lines	2/21/2022
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/15/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/4/2021

Designated to act on behalf of the following Business Entities

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