DEPARTMENT OF INSURANCE
Affiliations
NameTaylor, Derek OtisDOIID704997NAIC NPN7371140
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife2/23/2021 10/31/2026
ActiveNon ResidentAgentHealth2/23/2021 10/31/2026
DeniedNon ResidentManaging General AgentNot Applicable   
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202610/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health8/30/20216/8/2022
InactiveAmerican General Life Insurance Company301585Agent - Life8/30/20216/8/2022
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/23/202212/16/2024
InactiveAnthem Life Insurance Company301209Agent - Health8/23/202212/16/2024
InactiveAnthem Life Insurance Company301209Agent - Life8/23/202212/16/2024
ActiveBanner Life Insurance Company301696Agent - Life2/6/2024 
InactiveCompBenefits Dental, Inc.591692Agent - Health12/18/201512/13/2016
ActiveCompanion Life Insurance Company300191Agent - Health7/1/2025 
ActiveCompanion Life Insurance Company300191Agent - Life7/1/2025 
InactiveDental Concern Inc. (The)301641Agent - Health7/28/200911/6/2017
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health12/3/20091/7/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life8/27/201512/14/2016
ActiveGolden Rule Insurance Company301943Agent - Health12/2/2021 
ActiveGolden Rule Insurance Company301943Agent - Life12/2/2021 
InactiveHumana Health Plan, Inc.300142Agent - Health7/28/200911/6/2017
InactiveHumana Insurance Company301104Agent - Health10/12/200911/6/2017
InactiveHumana Insurance Company301104Agent - Life10/12/200911/6/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Health7/28/200911/6/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Life7/28/200911/6/2017
InactiveHumanaDental Insurance Company301457Agent - Health10/12/20095/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life10/12/20095/13/2013
InactiveKanawha Insurance Company300127Agent - Health11/21/201511/6/2017
InactiveKanawha Insurance Company300127Agent - Life1/26/201110/22/2015
InactiveMutual of Omaha Insurance Company301012Agent - Health9/13/20127/22/2013
ActiveNational Health Insurance Company300554Agent - Health3/20/2021 
ActiveNational Health Insurance Company300554Agent - Life3/20/2021 
ActiveNorth River Insurance Company (The)301739Agent - Health7/28/2025 
ActivePan-American Life Insurance Company301530Agent - Health7/3/2025 
InactiveProtective Life Insurance Company300638Agent - Health9/9/201411/23/2015
InactiveProtective Life Insurance Company300638Agent - Life9/9/201411/23/2015
InactivePruco Life Insurance Company300954Agent - Life8/30/201312/24/2018
InactiveTime Insurance Company300683Agent - Health11/30/201211/22/2019
InactiveTime Insurance Company300683Agent - Life11/30/201211/22/2019
InactiveUnited of Omaha Life Insurance Company300156Agent - Health7/12/20109/23/2013
InactiveUnited of Omaha Life Insurance Company300156Agent - Life7/12/20109/23/2013
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health2/26/201510/12/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life2/26/201510/12/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/18/20152/14/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life3/25/201410/31/2020
InactiveDesignated Agent Company Inc.681257Agent - Health3/25/201410/31/2020

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