DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grigsby, Derek	DOIID	810080	NAIC NPN	16958555

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/28/2023		8/31/2025
Active	Non Resident	Agent	Casualty	9/28/2023		8/31/2025
Inactive	Non Resident	Agent	Personal Lines	6/1/2018	8/31/2019
* 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 Direct Property and Casualty Insurance Company	300957	Agent - Personal Lines	6/6/2018	12/14/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Personal Lines	6/6/2018	12/14/2018
Active	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	10/31/2023
Active	Garrison Property and Casualty Insurance Company	301957	Agent - Property	10/31/2023
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	5/28/2013	8/1/2014
Active	USAA Casualty Insurance Company	300995	Agent - Casualty	10/31/2023
Active	USAA Casualty Insurance Company	300995	Agent - Property	10/31/2023
Active	USAA General Indemnity Company	300131	Agent - Casualty	10/31/2023
Active	USAA General Indemnity Company	300131	Agent - Property	10/31/2023
Active	United Services Automobile Association	300158	Agent - Casualty	10/31/2023
Active	United Services Automobile Association	300158	Agent - Property	10/31/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	5/28/2013	8/1/2014