DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Derych, Alexis	DOIID	803950	NAIC NPN	9487307

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/19/2013		3/31/2026
Active	Non Resident	Agent	Casualty	2/19/2013		3/31/2026
* 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	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/18/2013	8/27/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/18/2013	8/27/2013
Inactive	Rural Community Insurance Company	301891	Agent - Property	2/28/2014	4/8/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Usi Insurance Services LLC	669260	Agent - Property
Denied	Usi Insurance Services LLC	669260	Agent - Casualty
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	3/25/2013	8/22/2013
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	3/25/2013	8/22/2013