DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Teneyck, Derek Bryant	DOIID	1229029	NAIC NPN	17374154

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/12/2022		1/31/2026
Active	Non Resident	Agent	Life	9/12/2022		1/31/2026
Active	Non Resident	Agent	Casualty	11/11/2022		1/31/2026
Active	Non Resident	Agent	Property	11/11/2022		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	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/14/2022	5/16/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/12/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/12/2022
Active	Homesite Insurance Company	301139	Agent - Casualty	2/16/2024
Active	Homesite Insurance Company	301139	Agent - Property	2/16/2024
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	2/16/2024
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	2/16/2024
Active	Progressive Direct Insurance Company	301379	Agent - Casualty	11/15/2022
Active	Progressive Direct Insurance Company	301379	Agent - Property	11/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	11/16/2022
Active	Progressive Advantage Agency , Inc.	518222	Agent - Property	11/16/2022