DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Derek Todd	DOIID	637259	NAIC NPN	8874237

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2007	12/29/2015
Inactive	Resident	Agent	Health	8/16/2006	12/29/2015
Inactive	Resident	Agent	Casualty	8/15/2007	12/29/2015
Inactive	Resident	Agent	Life	8/14/2006	12/29/2015
Inactive	Resident	Staff Adjuster	Property & Casualty	1/6/2012	2/28/2015
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	1/4/2008	9/16/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/4/2008	9/16/2011
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	4/10/2013	12/29/2015
Inactive	Allstate Indemnity Company	300778	Agent - Property	4/10/2013	12/29/2015
Inactive	Allstate Insurance Company	300773	Agent - Casualty	4/10/2013	12/29/2015
Inactive	Allstate Insurance Company	300773	Agent - Property	4/10/2013	12/29/2015
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	4/10/2013	12/29/2015
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	4/10/2013	12/29/2015
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/19/2014	12/29/2015
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/19/2014	12/29/2015
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	9/4/2007	7/22/2009
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	9/4/2007	7/22/2009
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/28/2012	3/2/2015
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/28/2012	3/2/2015
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/23/2013	3/31/2015
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/23/2013	3/31/2015
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	8/15/2007	3/31/2009
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	8/16/2006	10/16/2006
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	8/14/2006	10/16/2006
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/17/2013	12/29/2015
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/17/2013	12/29/2015
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	4/23/2013	3/31/2015
Inactive	Consolidated Insurance Company	300943	Agent - Property	4/23/2013	3/31/2015
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	11/21/2013	9/29/2015
Inactive	Dairyland Insurance Company	301370	Agent - Property	11/21/2013	9/29/2015
Inactive	Direct General Insurance Company of Mississippi	552453	Agent - Casualty	8/15/2007	2/10/2011
Inactive	Direct General Insurance Company of Mississippi	552453	Agent - Property	8/15/2007	2/10/2011
Inactive	Direct General Life Insurance Company	301045	Agent - Life	8/15/2007	1/5/2011
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	4/30/2013	12/29/2015
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	4/30/2013	12/29/2015
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	4/30/2013	12/29/2015
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	4/30/2013	12/29/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/17/2013	12/29/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/17/2013	12/29/2015
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	12/30/2013	12/14/2015
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	12/30/2013	12/14/2015
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	12/30/2013	12/14/2015
Inactive	GuideOne Insurance Company	301794	Agent - Property	12/30/2013	12/14/2015
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	12/30/2013	12/14/2015
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	12/30/2013	12/14/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	11/7/2013	12/16/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	11/7/2013	12/16/2015
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	4/1/2014	12/16/2015
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	4/1/2014	12/16/2015
Inactive	Indiana Insurance Company	301909	Agent - Casualty	4/23/2013	3/31/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	4/23/2013	3/31/2015
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	4/3/2013	12/29/2015
Inactive	Kentucky National Insurance Company	301625	Agent - Property	4/3/2013	12/29/2015
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	4/30/2013	12/30/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	4/30/2013	12/30/2013
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	2/18/2011	2/21/2013
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Property	2/18/2011	2/21/2013
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	2/18/2011	2/21/2013
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	2/18/2011	2/21/2013
Inactive	Nationwide General Insurance Company	300603	Agent - Property	2/18/2011	2/21/2013
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	2/18/2011	2/21/2013
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/18/2011	2/21/2013
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	2/18/2011	2/21/2013
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	2/18/2011	2/21/2013
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	2/18/2011	2/21/2013
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	2/18/2011	2/21/2013
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	2/18/2011	2/21/2013
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	2/18/2011	2/21/2013
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	2/18/2011	2/21/2013
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	4/23/2013	3/31/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	4/23/2013	3/31/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/23/2013	3/31/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/23/2013	3/31/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/23/2013	3/31/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/23/2013	3/31/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/23/2013	3/31/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	4/23/2013	3/31/2015
Inactive	Peerless Insurance Company	301910	Agent - Casualty	4/23/2013	3/31/2015
Inactive	Peerless Insurance Company	301910	Agent - Property	4/23/2013	3/31/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/26/2013	3/31/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/26/2013	3/31/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/26/2013	3/31/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/26/2013	3/31/2015
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	2/4/2014	12/16/2015
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	2/4/2014	12/16/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	2/6/2007	5/25/2007
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	2/6/2007	5/25/2007
Inactive	United American Insurance Company	300910	Agent - Health	12/13/2006	6/8/2007
Inactive	United American Insurance Company	300910	Agent - Life	12/13/2006	6/8/2007
Inactive	United Investors Life Insurance Company	301873	Agent - Life	1/12/2007	6/8/2007
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/18/2011	2/21/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/18/2011	2/21/2013
Inactive	West American Insurance Company	301112	Agent - Casualty	4/23/2013	3/31/2015
Inactive	West American Insurance Company	301112	Agent - Property	4/23/2013	3/31/2015
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	10/23/2006	2/20/2007
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	10/23/2006	2/20/2007
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	10/23/2006	2/20/2007
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	10/23/2006	2/20/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alan K Hatfield Inc.	400788	Agent - Health	9/1/2011	3/2/2015
Inactive	Alan K Hatfield Inc.	400788	Agent - Life	9/1/2011	3/2/2015
Inactive	Alan K Hatfield Inc.	400788	Agent - Casualty	9/1/2011	2/21/2013
Inactive	Alan K Hatfield Inc.	400788	Agent - Property	9/1/2011	2/21/2013
Inactive	Summit Holding Group LLC	795635	Agent - Health	5/1/2013	3/2/2015
Inactive	Summit Holding Group LLC	795635	Agent - Life	5/1/2013	3/2/2015
Inactive	Summit Holding Group LLC	795635	Agent - Casualty	5/1/2013	12/29/2015
Inactive	Summit Holding Group LLC	795635	Agent - Property	5/1/2013	12/29/2015