DEPARTMENT OF INSURANCE

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		6/30/2025
Active	Non Resident	Agent	Casualty	11/9/2022		6/30/2025
* 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
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	12/5/2022
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	12/5/2022

Designated to act on behalf of the following Business Entities

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