DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stephens, Derronisha V	DOIID	1241298	NAIC NPN	18763073

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/9/2022		6/30/2027
Active	Non Resident	Agent	Casualty	11/9/2022		6/30/2027
* 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	04/15/2025	06/30/2025	04/02/2025	04/02/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	12/5/2022	12/27/2024
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	12/5/2022	12/27/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Specialty Program Group LLC	937234	Agent - Casualty	12/5/2022	12/27/2024
Inactive	Specialty Program Group LLC	937234	Agent - Property	12/5/2022	12/27/2024