DEPARTMENT OF INSURANCE

Affiliations

Name	Phillips, Derek Michael	DOIID	937800	NAIC NPN	18193635

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	11/21/2016	12/31/2020
Inactive	Non Resident	Agent	Casualty	11/21/2016	12/31/2020
Inactive	Non Resident	Agent	Health	4/21/2021	12/31/2024
Inactive	Non Resident	Agent	Life	4/21/2021	12/31/2024
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	7/15/2021	4/24/2024
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/28/2021	12/31/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/15/2021	4/24/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/28/2021	12/31/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/28/2021	12/31/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/21/2022	12/22/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	12/21/2022	12/22/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/21/2022	12/22/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/8/2022	12/22/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/8/2022	12/22/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	12/20/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/21/2022	12/22/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/15/2021	4/24/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/15/2021	4/24/2024
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	12/7/2016	8/21/2020
Inactive	Dairyland Insurance Company	301370	Agent - Property	12/7/2016	8/21/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/21/2016	6/23/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/21/2016	6/23/2020
Inactive	GEICO Casualty Company	301178	Agent - Casualty	10/28/2020	12/31/2020
Inactive	GEICO General Insurance Company	301684	Agent - Casualty	10/28/2020	12/31/2020
Inactive	GEICO General Insurance Company	301684	Agent - Property	10/28/2020	12/31/2020
Inactive	GEICO Indemnity Company	301720	Agent - Casualty	10/28/2020	12/31/2020
Inactive	GEICO Indemnity Company	301720	Agent - Property	10/28/2020	12/31/2020
Inactive	Government Employees Insurance Company	300376	Agent - Casualty	10/28/2020	12/31/2020
Inactive	Government Employees Insurance Company	300376	Agent - Property	10/28/2020	12/31/2020
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/14/2022	12/31/2024
Inactive	National General Insurance Company	300152	Agent - Casualty	11/23/2016	6/9/2020
Inactive	National General Insurance Company	300152	Agent - Property	11/23/2016	6/9/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/28/2021	12/31/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/21/2021	12/20/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	4/21/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/21/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/21/2021	12/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	11/30/2016	5/27/2020
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	11/30/2016	5/27/2020
Inactive	CWI, LLC	662170	Agent - Property	10/28/2019	5/27/2020
Inactive	CWI, LLC	662170	Agent - Casualty	10/28/2019	5/27/2020
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	11/30/2016	5/27/2020
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	11/30/2016	5/27/2020
Inactive	Healthcompare Ins Services Inc	708319	Agent - Life	10/27/2021	7/29/2023
Inactive	Healthcompare Ins Services Inc	708319	Agent - Health	4/30/2021	7/29/2023
Inactive	National General Ins Marketing Inc	621228	Agent - Property	11/30/2016	5/27/2020
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	11/30/2016	5/27/2020