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		4/30/2025
* 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	02/15/2025	04/30/2025

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
Inactive	Humana Insurance Company	301104	Agent - Health	8/30/2024	1/28/2025
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
Active	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022