DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ray, Derek	DOIID	1080509	NAIC NPN	18836858

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	6/3/2021		3/31/2027
Active	Non Resident	Agent	Casualty	2/7/2025		3/31/2027
Active	Non Resident	Agent	Property	2/7/2025		3/31/2027
Inactive	Non Resident	Staff Adjuster	Property & Casualty	4/7/2020	3/31/2023
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bristol West Insurance Company	301655	Agent - Personal Lines	6/15/2021
Active	Farmers Insurance Exchange	300336	Agent - Casualty	5/14/2025
Inactive	Farmers Insurance Exchange	300336	Agent - Personal Lines	6/15/2021	5/13/2025
Active	Farmers Insurance Exchange	300336	Agent - Property	5/14/2025
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	11/8/2024
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Personal Lines	11/8/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fx Insurance Agency, LLC	646184	Agent - Personal Lines	6/16/2021	5/14/2025
Active	Kraft Lake Insurance Agency, Inc.	658511	Agent - Casualty	5/14/2025
Active	Kraft Lake Insurance Agency, Inc.	658511	Agent - Property	5/14/2025