DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pierce, Derek B	DOIID	558455	NAIC NPN	1438242

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/22/2020	12/31/2022
Inactive	Non Resident	Agent	Health	4/15/2021	12/31/2022
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	12/31/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/26/2021	12/31/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/26/2021	12/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/26/2021	12/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/1/2006	12/31/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/1/2006	12/31/2010
Inactive	CareSource Kentucky Co.	838179	Agent - Health	11/14/2022	1/15/2023
Inactive	Humana Insurance Company	301104	Agent - Health	10/25/2010	12/31/2010
Inactive	Humana Insurance Company	301104	Agent - Life	10/25/2010	12/31/2010
Inactive	Pacific Life Insurance Company	301848	Agent - Life	11/25/2020	12/10/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/26/2021	12/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	7/1/2006	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	7/1/2006	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/25/2008	12/31/2010
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/25/2008	12/31/2010