DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brewer, Derric Anthony	DOIID	1049163	NAIC NPN	19190802

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/29/2019		7/31/2026
* 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	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/7/2025	1/23/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/7/2025	1/23/2026
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/21/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/21/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/18/2021	3/22/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/21/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/26/2025
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/7/2025	12/23/2025
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	6/14/2020	3/22/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/7/2025	1/23/2026
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/14/2020	3/22/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/14/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/14/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/14/2020	3/22/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Trubridge Inc	717747	Agent - Health