DEPARTMENT OF INSURANCE

Affiliations

Name	Isaac, Derrick Shawn	DOIID	621820	NAIC NPN	8667452

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	9/16/2008	4/30/2025
Active	Resident	Agent	Casualty	4/14/2006	4/30/2025
Active	Resident	Agent	Property	4/14/2006	4/30/2025
* 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	Erie Family Life Insurance Company	301400	Agent - Life	2/19/2018
Active	Erie Insurance Company	300230	Agent - Casualty	2/19/2018
Active	Erie Insurance Company	300230	Agent - Property	2/19/2018
Active	Erie Insurance Company of New York	789916	Agent - Casualty	2/19/2018
Active	Erie Insurance Company of New York	789916	Agent - Property	2/19/2018
Active	Erie Insurance Exchange	300789	Agent - Casualty	2/19/2018
Active	Erie Insurance Exchange	300789	Agent - Property	2/19/2018
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	2/19/2018
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	2/19/2018
Active	Flagship City Insurance Company	789965	Agent - Casualty	2/19/2018
Active	Flagship City Insurance Company	789965	Agent - Property	2/19/2018
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	10/6/2006	2/22/2018
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	10/6/2006	2/22/2018
Inactive	Nationwide General Insurance Company	300603	Agent - Property	10/6/2006	2/22/2018
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	9/19/2008	2/22/2018
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/19/2008	2/22/2018
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	10/6/2006	2/22/2018
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	10/6/2006	2/22/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	10/6/2006	2/22/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	10/6/2006	2/22/2018
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	10/6/2006	2/22/2018
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	10/6/2006	2/22/2018
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/17/2014	3/5/2018
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	9/17/2014	3/5/2018
Inactive	United Financial Casualty Company	301886	Agent - Casualty	3/17/2015	3/5/2018
Inactive	United Financial Casualty Company	301886	Agent - Property	3/17/2015	3/5/2018
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/16/2007	2/22/2018
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/16/2007	2/22/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Derrick Isaac Insurance Agency Inc	982056	Agent - Casualty	1/19/2018
Active	Derrick Isaac Insurance Agency Inc	982056	Agent - Property	1/19/2018
Active	Derrick Isaac Insurance Agency Inc	982056	Agent - Life	1/19/2018
Inactive	McGuire Insurance Agency, Inc.	502147	Agent - Casualty	1/22/2007	11/21/2023
Inactive	McGuire Insurance Agency, Inc.	502147	Agent - Property	1/22/2007	11/21/2023