DEPARTMENT OF INSURANCE
Licensee Search Details
NameHerzer, Derek BDOIID994552NAIC NPN18395436
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentLife4/6/2021 4/30/2026 
ActiveNon ResidentAgentHealth5/16/2018 4/30/2026 
*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
TypeAddress
Business / Home Office1025 Old Country Rd Ste 423 Westbury, NY 115905647
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emaildherzer@medigaplife.com
Phone Information
TypePhone
Business / Home Office(866) 485-1646

© Commonwealth of Kentucky. All rights reserved.