DEPARTMENT OF INSURANCE

Affiliations

Name	Taylor, Derek Otis	DOIID	704997	NAIC NPN	7371140

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	2/23/2021	10/31/2026
Active	Non Resident	Agent	Health	2/23/2021	10/31/2026
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 General Life Insurance Company	301585	Agent - Health	8/30/2021	6/8/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	8/30/2021	6/8/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/23/2022	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/23/2022	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/23/2022	12/16/2024
Active	Banner Life Insurance Company	301696	Agent - Life	2/6/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/18/2015	12/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/28/2009	11/6/2017
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	12/3/2009	1/7/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	8/27/2015	12/14/2016
Active	Golden Rule Insurance Company	301943	Agent - Health	12/2/2021
Active	Golden Rule Insurance Company	301943	Agent - Life	12/2/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/28/2009	11/6/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/12/2009	11/6/2017
Inactive	Humana Insurance Company	301104	Agent - Life	10/12/2009	11/6/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/28/2009	11/6/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/28/2009	11/6/2017
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/12/2009	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/12/2009	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/21/2015	11/6/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/26/2011	10/22/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/13/2012	7/22/2013
Active	National Health Insurance Company	300554	Agent - Health	3/20/2021
Active	National Health Insurance Company	300554	Agent - Life	3/20/2021
Inactive	Protective Life Insurance Company	300638	Agent - Health	9/9/2014	11/23/2015
Inactive	Protective Life Insurance Company	300638	Agent - Life	9/9/2014	11/23/2015
Inactive	Pruco Life Insurance Company	300954	Agent - Life	8/30/2013	12/24/2018
Inactive	Time Insurance Company	300683	Agent - Health	11/30/2012	11/22/2019
Inactive	Time Insurance Company	300683	Agent - Life	11/30/2012	11/22/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/12/2010	9/23/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/12/2010	9/23/2013
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	2/26/2015	10/12/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	2/26/2015	10/12/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	3/25/2014	10/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/25/2014	10/31/2020