DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Derrell Darnell	DOIID	947632	NAIC NPN	646693

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/19/2023		12/31/2025
Active	Non Resident	Agent	Life	5/18/2023		12/31/2025
Active	Non Resident	Agent	Health	5/18/2023		12/31/2025
Active	Non Resident	Agent	Casualty	5/19/2023		12/31/2025
* 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
Active	Spinnaker Insurance Company	300099	Agent - Casualty	5/26/2023
Active	Spinnaker Insurance Company	300099	Agent - Property	5/26/2023
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	3/21/2017	6/20/2019
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	3/21/2017	6/20/2019
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	3/21/2017	6/20/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Simply Business, LLC	962617	Agent - Property	8/1/2023
Active	Simply Business, LLC	962617	Agent - Casualty	8/1/2023
Denied	Simply Business, LLC	962617	Agent - Life
Denied	Simply Business, LLC	962617	Agent - Health