DEPARTMENT OF INSURANCE
Affiliations
NameDerossett, David JamesDOIID387688NAIC NPN128148
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedResidentAgentCasualty   
DeniedResidentAgentLife   
DeniedResidentAgentProperty   
DeniedResidentAgentHealth   
InactiveResidentAgentHealth Maintenance Organization2/1/19943/1/2001 
InactiveResidentAgentGeneral Lines2/21/19698/15/2000 
* 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
InactiveACE American Insurance Company300625Agent - Casualty8/15/20005/3/2002
InactiveACE American Insurance Company300625Agent - General Lines7/23/19978/15/2000
InactiveACE American Insurance Company300625Agent - Property8/15/20005/3/2002
InactiveACE Fire Underwriters Insurance Company301679Agent - Casualty8/15/20005/3/2002
InactiveACE Fire Underwriters Insurance Company301679Agent - General Lines7/23/19978/15/2000
InactiveACE Fire Underwriters Insurance Company301679Agent - Property8/15/20005/3/2002
InactiveAllianz Life Insurance Company of North America301791Agent - Health8/19/19988/13/2003
InactiveAllianz Life Insurance Company of North America301791Agent - Life8/19/19988/13/2003
InactiveAmerican Family Home Insurance Company301817Agent - Casualty10/17/20009/30/2011
InactiveAmerican Family Home Insurance Company301817Agent - Property10/17/20009/30/2011
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty10/17/20009/30/2011
InactiveAmerican Modern Home Insurance Company300791Agent - Property10/17/20009/30/2011
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty9/2/20089/30/2011
InactiveAmerican Modern Select Insurance Company581481Agent - Property9/2/20089/30/2011
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty9/2/20089/30/2011
InactiveAmerican Southern Home Insurance Company626276Agent - Property9/2/20089/30/2011
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20014/1/2002
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization2/1/19943/1/2001
InactiveAnthem Life Insurance Company301209Agent - Health2/10/19949/30/2011
InactiveAnthem Life Insurance Company301209Agent - Life2/10/19949/30/2011
InactiveAssurance Company of America300432Agent - General Lines11/9/19953/31/1996
InactiveAssurity Life Insurance Company301099Agent - Health7/13/19982/25/2003
InactiveAssurity Life Insurance Company301099Agent - Life7/13/19982/25/2003
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty8/15/20009/30/2011
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - General Lines3/11/19968/15/2000
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property8/15/20009/30/2011
InactiveBeazley Insurance Company, Inc.300899Agent - General Lines5/22/199611/9/1998
InactiveCHA HMO, Inc.300662Agent - Health3/1/200112/23/2002
InactiveCHA HMO, Inc.300662Agent - Health Maintenance Organization4/12/19993/1/2001
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty8/15/20009/30/2011
InactiveCharter Oak Fire Insurance Company (The)301501Agent - General Lines2/29/20008/15/2000
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property8/15/20009/30/2011
InactiveChase Insurance Life and Annuity Company300518Agent - Health10/26/19943/31/1997
InactiveChase Insurance Life and Annuity Company300518Agent - Life10/26/19943/31/1997
InactiveCitizens Security Life Insurance Company301257Agent - Health4/23/199812/27/2004
InactiveCitizens Security Life Insurance Company301257Agent - Life4/23/199812/27/2004
InactiveClarica Life Insurance Company - U.S.300207Agent - Health9/20/199410/15/1996
InactiveClarica Life Insurance Company - U.S.300207Agent - Life9/20/199410/15/1996
InactiveColonial Life and Accident Insurance Company300846Agent - Health6/5/19965/27/1997
InactiveColonial Life and Accident Insurance Company300846Agent - Life6/5/19965/27/1997
InactiveContinental General Insurance Company300691Agent - Health9/18/200011/1/2004
InactiveContinental General Insurance Company300691Agent - Life9/18/200011/1/2004
InactiveEquitable Life Insurance Company of Iowa301633Agent - Health6/5/19963/31/1997
InactiveEquitable Life Insurance Company of Iowa301633Agent - Life6/5/19963/31/1997
InactiveFidelity Security Life Insurance Company300466Agent - Health9/24/199712/28/1998
InactiveFidelity Security Life Insurance Company300466Agent - Life9/24/199712/28/1998
InactiveFirst Colony Life Insurance Company301179Agent - Life1/14/19972/2/2005
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty8/15/20007/7/2003
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - General Lines5/14/19988/15/2000
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property8/15/20007/7/2003
InactiveGenerali - U.S. Branch301128Agent - Casualty8/15/20003/31/2002
InactiveGenerali - U.S. Branch301128Agent - General Lines2/16/19998/15/2000
InactiveGenerali - U.S. Branch301128Agent - Property8/15/20003/31/2002
InactiveGlatfelter Insurance Company301640Agent - General Lines11/9/19953/31/1996
InactiveGlobe American Casualty Company301033Agent - Casualty8/15/200010/7/2002
InactiveGlobe American Casualty Company301033Agent - General Lines3/20/19978/15/2000
InactiveGlobe American Casualty Company301033Agent - Property8/15/200010/7/2002
InactiveGreat American Casualty Insurance Company301764Agent - General Lines9/9/19813/31/1998
InactiveGuarantee Trust Life Insurance Company301043Agent - Health6/12/19963/31/1997
InactiveGuarantee Trust Life Insurance Company301043Agent - Life6/12/19963/31/1997
InactiveGuideOne Insurance Company301794Agent - Casualty8/15/200010/8/2001
InactiveGuideOne Insurance Company301794Agent - General Lines5/15/20008/15/2000
InactiveGuideOne Insurance Company301794Agent - Property8/15/200010/8/2001
InactiveHumana Insurance Company301104Agent - Health11/18/19939/13/2002
InactiveHumana Insurance Company301104Agent - Life11/18/19939/13/2002
InactiveIllinois Mutual Life Insurance Company301479Agent - Health12/28/19941/9/1998
InactiveIllinois Mutual Life Insurance Company301479Agent - Life12/28/19941/9/1998
InactiveInfinity Insurance Company300416Agent - Casualty8/15/20003/31/2002
InactiveInfinity Insurance Company300416Agent - General Lines10/21/19968/15/2000
InactiveInfinity Select Insurance Company300169Agent - Casualty8/15/20003/31/2002
InactiveInfinity Select Insurance Company300169Agent - General Lines10/21/19968/15/2000
InactiveInsurance Company of North America300226Agent - Casualty8/15/20005/3/2002
InactiveInsurance Company of North America300226Agent - General Lines7/23/19978/15/2000
InactiveInsurance Company of North America300226Agent - Property8/15/20005/3/2002
InactiveInvestors Heritage Life Insurance Company300363Agent - Health12/30/19969/30/2011
InactiveInvestors Heritage Life Insurance Company300363Agent - Life12/30/19969/30/2011
InactiveJackson National Life Insurance Company300486Agent - Life9/22/200012/31/2002
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health3/24/19945/21/1998
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life3/24/19945/21/1998
InactiveKentucky Home Life Insurance Company300477Agent - Health8/8/200012/30/2004
InactiveKentucky Home Life Insurance Company300477Agent - Life8/8/200012/30/2004
InactiveKentucky National Insurance Company301625Agent - Casualty8/15/20004/5/2002
InactiveKentucky National Insurance Company301625Agent - General Lines8/19/19988/15/2000
InactiveKentucky National Insurance Company301625Agent - Property8/15/20004/5/2002
InactiveLifeUSA Insurance Company300386Agent - Health8/11/19988/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life8/11/19988/2/2002
InactiveMaryland Casualty Company301719Agent - General Lines11/9/19953/31/1996
InactiveMeridian Mutual Insurance Company301303Agent - General Lines3/26/19963/31/1998
InactiveMeridian Security Insurance Company300423Agent - General Lines3/26/19963/31/1998
InactiveMutual of Omaha Insurance Company301012Agent - Health4/7/19989/23/2003
InactiveNational Summit Insurance Company300348Agent - Casualty8/15/20001/27/2004
InactiveNational Summit Insurance Company300348Agent - General Lines3/11/19968/15/2000
InactiveNational Summit Insurance Company300348Agent - Property8/15/20001/27/2004
InactiveNorthern Insurance Company of New York301317Agent - General Lines11/9/19953/31/1996
InactivePAFCO General Insurance Company301645Agent - Casualty8/15/20003/31/2004
InactivePAFCO General Insurance Company301645Agent - General Lines2/2/20008/15/2000
InactivePAFCO General Insurance Company301645Agent - Property8/15/20003/31/2004
InactivePan-American Assurance Company301533Agent - Health12/28/19959/30/2011
InactivePan-American Assurance Company301533Agent - Life12/28/19959/30/2011
InactivePan-American Life Insurance Company301530Agent - Health12/28/199510/6/1998
InactivePan-American Life Insurance Company301530Agent - Life12/28/199510/6/1998
InactivePioneer Life Insurance Company300110Agent - Health4/6/199910/23/2002
InactivePioneer Life Insurance Company300110Agent - Life4/6/199910/23/2002
InactiveProvident Life and Accident Insurance Company301525Agent - Health9/25/19968/24/2000
InactiveProvident Life and Accident Insurance Company301525Agent - Life9/25/199612/14/2005
InactiveQBE Insurance Corporation300515Agent - Casualty8/15/20002/7/2002
InactiveQBE Insurance Corporation300515Agent - General Lines12/30/19998/15/2000
InactiveQBE Insurance Corporation300515Agent - Property8/15/20002/7/2002
InactiveResponse Worldwide Direct Auto Insurance Company300121Agent - General Lines2/21/19693/31/1998
InactiveSecurity Life Insurance Company of America300936Agent - Health10/28/199712/30/1998
InactiveSecurity Life Insurance Company of America300936Agent - Life10/28/199712/30/1998
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty8/15/20009/30/2011
InactiveStandard Fire Insurance Company (The)301068Agent - General Lines3/11/19968/15/2000
InactiveStandard Fire Insurance Company (The)301068Agent - Property8/15/20009/30/2011
InactiveThe Phoenix Insurance Company301502Agent - Casualty8/15/20009/30/2011
InactiveThe Phoenix Insurance Company301502Agent - General Lines2/29/20008/15/2000
InactiveThe Phoenix Insurance Company301502Agent - Property8/15/20009/30/2011
InactiveTime Insurance Company300683Agent - Health12/14/19893/31/1997
InactiveTime Insurance Company300683Agent - Life12/14/19893/31/1997
InactiveTransamerica Premier Life Insurance Company300558Agent - Health7/16/196812/1/2000
InactiveTransamerica Premier Life Insurance Company300558Agent - Life7/16/196812/1/2000
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty9/3/20029/30/2011
InactiveTravelers Casualty Company of Connecticut301505Agent - Property9/3/20029/30/2011
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty5/23/20079/30/2011
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property5/23/20079/30/2011
InactiveTravelers Indemnity Company (The)301855Agent - Casualty8/15/20009/30/2011
InactiveTravelers Indemnity Company (The)301855Agent - General Lines2/29/20008/15/2000
InactiveTravelers Indemnity Company (The)301855Agent - Property8/15/20009/30/2011
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty9/3/20029/30/2011
InactiveTravelers Property Casualty Insurance Company301508Agent - Property9/3/20029/30/2011
InactiveUNUM Life Insurance Company of America300817Agent - Health12/27/199912/11/2002
InactiveUNUM Life Insurance Company of America300817Agent - Life12/27/199912/11/2002
InactiveUnion Security Insurance Company301844Agent - Health7/31/199812/31/1998
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health4/8/19943/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life4/8/19943/31/1997
InactiveWoodmen Accident and Life Company300147Agent - Health3/20/19976/28/2000
InactiveWoodmen Accident and Life Company300147Agent - Life3/20/19976/28/2000
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life6/28/20089/30/2011
InactiveDesignated Agent Company Inc.681257Agent - Health6/28/20089/30/2011
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
InactiveInsurance One Inc.399840Agent - Life1/21/19945/31/2004
InactiveInsurance One Inc.399840Agent - Health1/21/19945/31/2004
InactiveMedlink Inc400721Agent - Life1/1/20029/30/2011
InactiveMedlink Inc400721Agent - Health1/1/20029/30/2011
InactiveTrimble Insurance Agency Inc.398527Agent - Life6/24/19965/31/2004
InactiveTrimble Insurance Agency Inc.398527Agent - Health6/24/19965/31/2004
InactiveTrimble/DeRossett Insurance Agency, LLC398703Agent - General Lines2/23/20008/15/2000
InactiveTrimble/DeRossett Insurance Agency, LLC398703Agent - Life11/21/19985/31/2004
InactiveTrimble/DeRossett Insurance Agency, LLC398703Agent - Health11/21/19985/31/2004
InactiveTrimble/DeRossett Insurance Agency, LLC398703Agent - Property8/15/20005/31/2004
InactiveTrimble/DeRossett Insurance Agency, LLC398703Agent - Casualty8/15/20005/31/2004

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