DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	House, Derek E	DOIID	694868	NAIC NPN	5749572

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	12/3/2008	10/27/2015
Inactive	Non Resident	Agent	Casualty	12/3/2008	10/27/2015
* 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	Rural Community Insurance Company	301891	Agent - Casualty	4/28/2010	12/19/2014
Inactive	Rural Community Insurance Company	301891	Agent - Property	4/28/2010	12/19/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	12/22/2010	9/10/2014
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	12/22/2010	9/10/2014