DEPARTMENT OF INSURANCE

Affiliations

Name	Mcclellon, Derek Wayne	DOIID	378963	NAIC NPN	7204162

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	2/20/2009	1/31/2026
Active	Resident	Agent	Life	10/24/2008	1/31/2026
* 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	Accendo Insurance Company	300312	Agent - Life	6/22/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/28/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/6/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	1/28/2019
Active	Aetna Life Insurance Company	301140	Agent - Life	1/28/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	8/6/2019	12/6/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/22/2017	6/22/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/22/2017	6/22/2018
Inactive	American General Life Insurance Company	301585	Agent - Health	12/2/2022	6/24/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	12/2/2022	6/24/2024
Active	American National Insurance Company	301861	Agent - Life	12/14/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	4/29/2002	9/16/2003
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	4/29/2002	9/16/2003
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	5/22/2019
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	5/22/2019
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/23/2022
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/23/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/23/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/15/2019	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/15/2019	12/10/2020
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	8/7/2023
Inactive	Athene Annuity and Life Company	301893	Agent - Life	7/27/2017	12/20/2021
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	11/3/2016	11/12/2020
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	11/3/2016	11/12/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	11/3/2016	11/12/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	11/3/2016	11/12/2020
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/19/2013	1/19/2015
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/18/2022
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	6/3/2002	3/31/2004
Inactive	Columbian Life Insurance Company	300810	Agent - Life	4/19/2018	5/10/2024
Inactive	Combined Insurance Company of America	301472	Agent - Health	2/29/2016	10/31/2016
Inactive	Combined Insurance Company of America	301472	Agent - Life	2/29/2016	10/31/2016
Active	CompBenefits Insurance Company	301864	Agent - Health	7/24/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/23/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/6/2019
Active	Dental Concern Inc. (The)	301641	Agent - Health	8/17/2023
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/14/2017	1/20/2020
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	11/25/2022	10/23/2023
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	12/6/2021	9/16/2024
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	12/6/2021	9/16/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/25/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/5/2022	12/13/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/25/2020	4/19/2022
Active	Humana Insurance Company	301104	Agent - Health	8/7/2023
Inactive	Humana Insurance Company	301104	Agent - Life	2/15/2019	3/3/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/21/2016	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/21/2016	4/10/2018
Active	Humana Medical Plan, Inc.	801568	Agent - Health	7/24/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	5/5/2022	12/13/2022
Inactive	IA American Life Insurance Company	301149	Agent - Life	11/21/1996	2/17/1998
Active	Independent Order of Foresters	300743	Agent - Health	6/16/2021
Active	Independent Order of Foresters	300743	Agent - Life	6/16/2021
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	11/28/2022	10/8/2023
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	11/28/2022	10/8/2023
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	4/23/2018	3/6/2023
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	4/23/2018	3/6/2023
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Health	9/8/2022	12/20/2022
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	11/3/2016	12/20/2022
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	4/1/2010	4/26/2011
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	4/1/2010	4/26/2011
Inactive	Loyal Christian Benefit Association	300958	Agent - Health	10/8/2015	5/15/2019
Inactive	Loyal Christian Benefit Association	300958	Agent - Life	11/24/2014	2/20/2015
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	3/19/2001	3/25/2003
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	8/23/2018	10/28/2020
Inactive	Medico Insurance Company	301559	Agent - Health	3/4/2013	12/26/2014
Inactive	Medico Insurance Company	301559	Agent - Life	3/4/2013	12/26/2014
Inactive	Midland National Life Insurance Company	300923	Agent - Life	12/30/1996	4/27/1998
Active	Minnesota Life Insurance Company	300488	Agent - Health	12/9/2022
Active	Minnesota Life Insurance Company	300488	Agent - Life	12/9/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/17/2016	6/21/2016
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	6/27/2013	5/29/2014
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/27/2013	5/29/2014
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	1/22/2002	3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	1/22/2002	3/31/2003
Inactive	Omaha Insurance Company	751908	Agent - Health	3/17/2016	6/21/2016
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	8/10/2010	11/5/2011
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	3/11/2013	2/27/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	3/11/2013	2/27/2016
Inactive	Reserve National Insurance Company	301073	Agent - Health	2/14/2013	2/10/2016
Inactive	Reserve National Insurance Company	301073	Agent - Life	2/14/2013	2/10/2016
Inactive	Royal Neighbors of America	301646	Agent - Life	8/17/2015	11/24/2016
Inactive	Security Life Insurance Company of America	300936	Agent - Life	9/9/1997	6/5/1998
Active	SilverScript Insurance Company	663526	Agent - Health	8/27/2019
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	7/23/2013	3/22/2019
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	7/23/2013	3/22/2019
Inactive	Sterling Life Insurance Company	301947	Agent - Health	10/6/2010	1/17/2011
Inactive	Sterling Life Insurance Company	301947	Agent - Life	10/6/2010	1/17/2011
Active	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	2/7/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	1/6/2023
Active	Transamerica Life Insurance Company	300571	Agent - Life	1/6/2023
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/11/2019	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/11/2019	10/1/2020
Inactive	Trinity Life Insurance Company	552459	Agent - Life	7/29/2019	11/3/2022
Inactive	Union Central Life Insurance Company	300307	Agent - Life	6/3/2002	4/3/2003
Inactive	United American Insurance Company	300910	Agent - Health	5/6/2019	3/2/2021
Inactive	United American Insurance Company	300910	Agent - Life	5/6/2019	3/2/2021
Active	United Home Life Insurance Company	300421	Agent - Life	12/21/2022
Inactive	United States Fire Insurance Company	582240	Agent - Health	8/22/2022	12/27/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	5/15/2019	10/22/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/22/2023	2/22/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/22/2023	2/22/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/18/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/18/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/18/2022
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/13/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/26/2022
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	1/15/2014	10/1/2014
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	1/15/2014	10/1/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornerstone Senior Services LLC	399590	Agent - Life	5/10/2001	9/19/2001
Inactive	Cornerstone Senior Services LLC	399590	Agent - Health	5/10/2001	9/19/2001
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/15/2019	12/11/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/15/2019	12/11/2020
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	5/7/2020	8/23/2022
Active	Mcclellon Insurance LLC	1206326	Agent - Life	5/20/2022
Active	Mcclellon Insurance LLC	1206326	Agent - Health	5/20/2022
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Life	6/16/2017
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Health	6/16/2017