DEPARTMENT OF INSURANCE

Name	Derringer Jr, Terry Wayne	DOIID	934997	NAIC NPN	18175487

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	7/11/2017	6/30/2025
Active	Resident	Agent	Casualty	2/21/2017	6/30/2025
Active	Resident	Agent	Property	2/9/2017	6/30/2025
Active	Resident	Agent	Life	7/10/2017	6/30/2025

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	13023 Willow Forest Dr Louisville, KY 40245
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 541-7384