DEPARTMENT OF INSURANCE
Affiliations
NamePalmer, Derrick DOIID875034NAIC NPN17220283
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentVariable Life and Variable Annuities2/7/2022 9/30/2025
ActiveResidentAgentLife2/7/2022 9/30/2025
ActiveResidentAgentHealth2/7/2022 9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202509/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health6/20/20179/30/2021
ActiveAmerican General Life Insurance Company301585Agent - Life4/11/2022 
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities6/20/20179/30/2021
ActiveBanner Life Insurance Company301696Agent - Life10/5/2022 
InactiveBrighthouse Life Insurance Company301829Agent - Health5/19/20159/30/2021
InactiveBrighthouse Life Insurance Company301829Agent - Life5/19/20159/30/2021
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities5/19/20159/30/2021
InactiveEverlake Life Insurance Company300873Agent - Life2/25/20162/18/2021
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities2/25/20161/29/2021
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life3/17/202210/24/2023
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities3/17/202210/24/2023
InactiveJackson National Life Insurance Company300486Agent - Life2/19/20209/30/2021
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities2/19/20209/30/2021
InactiveLincoln National Life Insurance Company (The)301382Agent - Health2/7/202210/23/2023
InactiveLincoln National Life Insurance Company (The)301382Agent - Life2/7/202210/23/2023
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities2/7/202210/23/2023
InactiveMetropolitan Life Insurance Company301948Agent - Health5/19/20154/28/2018
InactiveMetropolitan Life Insurance Company301948Agent - Life5/19/20154/28/2018
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities5/19/20154/28/2018
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health3/27/2024 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life3/27/2024 
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life12/28/20159/30/2021
ActiveProtective Life Insurance Company300638Agent - Health2/7/2022 
ActiveProtective Life Insurance Company300638Agent - Life2/7/2022 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities2/7/2022 
InactivePruco Life Insurance Company300954Agent - Life3/17/202210/24/2023
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities3/17/202210/24/2023
InactivePrudential Insurance Company of America300784Agent - Life2/26/20169/30/2021
InactivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities2/26/20169/30/2021
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life6/2/201512/3/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities6/2/201512/3/2015
InactiveTransamerica Life Insurance Company300571Agent - Life5/19/20159/30/2021
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities5/19/20159/30/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveEdward D Jones & Co. Limited Partnership398146Agent - Health2/10/202210/23/2023
InactiveEdward D Jones & Co. Limited Partnership398146Agent - Variable Life and Variable Annuities2/10/202210/23/2023
InactiveEdward D Jones & Co. Limited Partnership398146Agent - Life2/10/202210/23/2023

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