DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Derossett, Jared	DOIID	1270935	NAIC NPN	20693207

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	5/16/2023		2/28/2026
Active	Resident	Agent	Health	5/16/2023		2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Combined Insurance Company of America	301472	Agent - Health	6/27/2023	9/18/2023
Inactive	Combined Insurance Company of America	301472	Agent - Life	6/27/2023	9/18/2023
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	7/26/2023	2/24/2025
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/26/2023	2/24/2025
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/14/2023	10/23/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/14/2023	10/23/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	6/14/2023	10/28/2024
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	6/14/2023	10/28/2024