DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Patterson, Derek Tyler	DOIID	581467	NAIC NPN	7946634

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Property
Denied	Resident	Agent	Casualty
Inactive	Resident	Agent	Health	12/15/2003	7/1/2006
Inactive	Resident	Agent	Life	12/15/2003	7/1/2006
* 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
Denied	Independent Mutual Fire Insurance Company	300851	Agent - Casualty
Denied	Independent Mutual Fire Insurance Company	300851	Agent - Property
Inactive	Modern Woodmen of America	301213	Agent - Life	12/20/2004	5/15/2006
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/15/2003	8/27/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/15/2003	8/27/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	MWAGIA, Inc	549166	Agent - Health
Inactive	MWAGIA, Inc	549166	Agent - Life	2/14/2005	5/15/2006