DEPARTMENT OF INSURANCE
Affiliations
NameDerigiotis, David ADOIID1248564NAIC NPN17503743
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentProperty12/25/2022 10/31/2025
Pending ReplacementNon ResidentAgentCasualty12/25/2022 10/31/2025
Pending ReplacementNon ResidentSurplus Lines BrokerNot Applicable3/17/2023 10/31/2025
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementArch Insurance Company300688Agent - Casualty5/22/2024 
Pending ReplacementArch Insurance Company300688Agent - Property5/22/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedEmbroker Ins Services LLC901870Agent - Casualty  
DeniedEmbroker Ins Services LLC901870Agent - Property  

© Commonwealth of Kentucky. All rights reserved.