DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shepherd, Derrick	DOIID	984617	NAIC NPN	18700608

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	11/4/2021		10/31/2026
Active	Resident	Agent	Health	2/22/2018		10/31/2026
Active	Resident	Agent	Property	11/4/2021		10/31/2026
Active	Resident	Agent	Life	2/22/2018		10/31/2026
* 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	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Banner Life Insurance Company	301696	Agent - Life	7/31/2020	5/28/2024
Inactive	C.M. Life Insurance Company	301335	Agent - Life	10/3/2018	10/10/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/26/2019	2/10/2021
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/26/2019	2/10/2021
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/23/2020	3/25/2022
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/23/2020	3/25/2022
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	3/26/2018	10/10/2019
Inactive	Protective Life Insurance Company	300638	Agent - Health	6/1/2020	11/23/2023
Inactive	Protective Life Insurance Company	300638	Agent - Life	6/1/2020	11/23/2023
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	7/29/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Cole Insurance Agency,Inc.	546669	Agent - Health
Denied	Cole Insurance Agency,Inc.	546669	Agent - Life
Denied	Cole Insurance Agency,Inc.	546669	Agent - Casualty
Denied	Cole Insurance Agency,Inc.	546669	Agent - Property