DEPARTMENT OF INSURANCE

Affiliations

Name	Derringer, David Eugene	DOIID	359476	NAIC NPN	829244

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	8/19/2004	12/1/2016
Inactive	Resident	Agent	Health	8/19/2004	12/1/2016
Inactive	Resident	Agent	Casualty	8/19/2004	12/1/2016
Inactive	Resident	Agent	Property	8/19/2004	12/1/2016
* 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
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/25/2005	11/22/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/25/2005	11/22/2007
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	12/3/2004	6/29/2007
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	12/3/2004	6/29/2007
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/2/2010	12/1/2016
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	6/13/2007	6/29/2007
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	6/13/2007	6/29/2007
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	6/29/2007
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	6/29/2007
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/8/2004	12/1/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/8/2004	12/1/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/14/2005	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/14/2005	11/10/2008
Inactive	Sentry Insurance Company	300222	Agent - Casualty	11/13/2000	2/9/2004
Inactive	Sentry Insurance Company	300222	Agent - Property	11/13/2000	2/9/2004
Inactive	Sentry Life Insurance Company	301461	Agent - Health	11/13/2000	2/9/2004
Inactive	Sentry Life Insurance Company	301461	Agent - Life	11/13/2000	2/9/2004
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	12/3/2004	6/29/2007
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	12/3/2004	6/29/2007
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	12/3/2004	6/29/2007
Inactive	The Phoenix Insurance Company	301502	Agent - Property	12/3/2004	6/29/2007
Inactive	TravCo Insurance Company	301828	Agent - Casualty	12/3/2004	6/29/2007
Inactive	TravCo Insurance Company	301828	Agent - Property	12/3/2004	6/29/2007
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	12/3/2004	6/29/2007
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	12/3/2004	6/29/2007
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/9/2006	6/29/2007
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006	6/29/2007
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	6/13/2007	6/29/2007
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	6/13/2007	6/29/2007
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	6/29/2007
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	6/29/2007
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/19/2005	6/29/2007
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/19/2005	6/29/2007
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	6/13/2007	6/29/2007
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	6/13/2007	6/29/2007
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/3/2004	6/29/2007
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/3/2004	6/29/2007
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	6/13/2007	6/29/2007
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	6/13/2007	6/29/2007
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	6/13/2007	6/29/2007
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	6/13/2007	6/29/2007
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	12/3/2004	6/29/2007
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	12/3/2004	6/29/2007
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/18/2011	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/18/2011	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/18/2011	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/18/2011	12/1/2016
Inactive	West Coast Life Insurance Company	301607	Agent - Life	8/31/2005	12/15/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Complete Insurance Services, LLC	594189	Agent - Property	9/9/2004	12/1/2016
Inactive	Complete Insurance Services, LLC	594189	Agent - Casualty	9/9/2004	12/1/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	12/1/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	12/1/2016
Inactive	Medlink Inc	400721	Agent - Life	2/23/2011	12/1/2016
Inactive	Medlink Inc	400721	Agent - Health	2/23/2011	12/1/2016