DEPARTMENT OF INSURANCE

Affiliations

Name	Ellington, Derek Thomas	DOIID	554702	NAIC NPN	7378315

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	9/17/2002	3/31/2026
Active	Resident	Agent	Life	9/25/2002	3/31/2026
Active	Resident	Agent	Health	9/25/2002	3/31/2026
Active	Resident	Agent	Casualty	9/17/2002	3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Agricultural Insurance Company	300215	Agent - Property	9/23/2016
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	6/26/2007	2/16/2009
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/26/2007	2/16/2009
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	9/20/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/20/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/20/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/20/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/11/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/11/2015	11/14/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/4/2003	3/7/2005
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/4/2003	3/7/2005
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/1/2008	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/1/2008	12/20/2024
Active	Dairyland Insurance Company	301370	Agent - Casualty	10/12/2002
Active	FB Insurance Company (The)	301763	Agent - Casualty	9/17/2002
Active	FB Insurance Company (The)	301763	Agent - Property	9/17/2002
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/18/2002
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/18/2002
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	10/18/2002	10/28/2003
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	10/18/2002	10/28/2003
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/4/2003	3/7/2005
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/4/2003	3/7/2005
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	7/14/2009	11/9/2010
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	7/14/2009	11/9/2010
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	1/19/2006	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	1/19/2006	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	1/16/2015	11/19/2017
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	1/16/2015	11/19/2017
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	9/17/2002
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	11/6/2002
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	9/17/2002
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	11/6/2002
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	11/6/2002
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	6/23/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	2/13/2025
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	10/21/2002
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	10/21/2002
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	11/6/2002
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	11/6/2002
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Health	9/7/2004	3/31/2007
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Life	9/7/2004	3/31/2007