DEPARTMENT OF INSURANCE

Affiliations

Name	White, Derrick R	DOIID	946991	NAIC NPN	17614703

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/19/2020	6/30/2026
Active	Non Resident	Agent	Life	3/7/2017	6/30/2026
* 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	04/15/2024	06/30/2024	05/29/2024	05/29/2024	Yes

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
Active	Accendo Insurance Company	300312	Agent - Life	9/21/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/21/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/23/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/21/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/21/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	9/21/2020	8/11/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	8/25/2020	6/16/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	8/25/2020	6/16/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/28/2022
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/28/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/28/2022
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	12/12/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/28/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/23/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/23/2021
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/6/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/24/2021
Active	Humana Insurance Company	301104	Agent - Health	1/24/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	7/6/2023
Active	SilverScript Insurance Company	663526	Agent - Health	8/21/2020
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	9/23/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/10/2017	4/22/2022
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/2/2018	10/1/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/14/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/14/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/14/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/14/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/22/2024
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/22/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ensurem II LLC	908041	Agent - Life	8/11/2020
Active	Ensurem II LLC	908041	Agent - Health	5/24/2022
Inactive	Oncor Ins Services Llc	684580	Agent - Life	3/28/2017	3/31/2020