DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Perry, Derrickah	DOIID	1168323	NAIC NPN	20084132

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/22/2021		4/30/2027
* 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	Accendo Insurance Company	300312	Agent - Health	11/5/2021	3/15/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/12/2021	2/28/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	11/5/2021	3/15/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/12/2021	2/28/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/12/2021	2/28/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/14/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/14/2022	11/21/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/14/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	7/5/2024	1/28/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/12/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/14/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/5/2021	3/15/2022
Active	Humana Insurance Company	301104	Agent - Health	6/12/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/12/2021	2/28/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/12/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/12/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/13/2022	10/3/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/13/2022	10/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Health Plan Intermediaries Holdings	786463	Agent - Health	10/20/2022
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	3/22/2023	3/31/2024
Inactive	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022	3/31/2025