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.

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 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
Active	Bristol West Insurance Company	301655	Agent - Casualty	2/1/2008
Active	Bristol West Insurance Company	301655	Agent - Property	2/1/2008
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
Active	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013
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