DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wirz, Derek Trent	DOIID	897870	NAIC NPN	2480393

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/3/2015		7/31/2026
Active	Non Resident	Agent	Casualty	11/3/2015		7/31/2026
* 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	05/15/2024	07/31/2024	05/20/2024	05/20/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AmGUARD Insurance Company	500010	Agent - Casualty	6/7/2022
Active	AmGUARD Insurance Company	500010	Agent - Property	6/7/2022
Active	NorGUARD Insurance Company	500015	Agent - Casualty	6/7/2022
Active	RLI Insurance Company	301217	Agent - Casualty	3/9/2022
Active	RLI Insurance Company	301217	Agent - Property	3/9/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Futurity First Insurance Group LLC	676947	Agent - Property
Denied	Futurity First Insurance Group LLC	676947	Agent - Casualty
Active	The Southern Agency Inc	1231793	Agent - Property	9/22/2022
Active	The Southern Agency Inc	1231793	Agent - Casualty	9/22/2022