DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hines, Derrick Benton	DOIID	789329	NAIC NPN	8208727

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/23/2012	12/31/2018
Inactive	Non Resident	Agent	Casualty	8/23/2012	12/31/2018
* 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 Bankers Insurance Company of Florida	300360	Agent - Casualty	4/23/2014	7/21/2017
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	4/23/2014	7/21/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	American Collectors Ins Inc	517008	Agent - Property
Denied	American Collectors Ins Inc	517008	Agent - Casualty
Inactive	American Collectors Ins LLC	835172	Agent - Property	4/23/2014	7/21/2017
Inactive	American Collectors Ins LLC	835172	Agent - Casualty	4/23/2014	7/21/2017