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	License Expiration Date
Active	Non Resident	Agent	Life	4/21/2021		12/31/2024
Active	Non Resident	Agent	Health	4/21/2021		12/31/2024
Inactive	Non Resident	Agent	Casualty	11/21/2016	12/31/2020
Inactive	Non Resident	Agent	Property	11/21/2016	12/31/2020
* 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	10/15/2024	12/31/2024

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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/28/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/15/2021	4/24/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/28/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	4/28/2021
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
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/14/2022
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
Active	SilverScript Insurance Company	663526	Agent - Health	4/28/2021
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