DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Derrick, James Thomas	DOIID	589658	NAIC NPN	2467577

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/17/2004	4/30/2011
Inactive	Non Resident	Agent	Casualty	5/20/2004	4/30/2011
Inactive	Non Resident	Agent	Property	5/20/2004	4/30/2011
Inactive	Non Resident	Agent	Life	5/17/2004	4/30/2011
Denied	Non Resident	Managing General Agent	Not Applicable
* 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	American Bankers Insurance Company of Florida	300360	Agent - Casualty	7/23/2004	1/21/2011
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	7/23/2004	1/21/2011
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	3/28/2006	4/30/2011
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	3/28/2006	4/30/2011
Inactive	Liberty Life Insurance Company	301542	Agent - Health	5/26/2004	6/30/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	5/26/2004	6/30/2006
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Casualty	10/15/2009	6/28/2011
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Property	10/15/2009	6/28/2011
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	7/6/2005	9/26/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	RBC U.S. Insurance Services, Inc	399058	Agent - Property	6/14/2005	4/30/2011
Inactive	RBC U.S. Insurance Services, Inc	399058	Agent - Casualty	6/14/2005	4/30/2011
Inactive	RBC U.S. Insurance Services, Inc	399058	Agent - Health	6/14/2005	4/30/2011
Inactive	RBC U.S. Insurance Services, Inc	399058	Agent - Life	6/14/2005	4/30/2011