DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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		8/31/2027
Active	Non Resident	Agent	Casualty	9/28/2023		8/31/2027
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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025	07/03/2025	07/03/2025	Yes

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