DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dumond, Derik J	DOIID	1353333	NAIC NPN	8358013

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/1/2024		6/30/2026
Active	Non Resident	Agent	Personal Lines	8/1/2024		6/30/2026
Active	Non Resident	Agent	Casualty	8/1/2024		6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Zurich Insurance Company	300592	Agent - Casualty	8/14/2024
Active	American Zurich Insurance Company	300592	Agent - Property	8/14/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Personal Lines LLC	715217	Agent - Casualty	8/16/2024
Active	Willis Personal Lines LLC	715217	Agent - Property	8/16/2024
Denied	Willis Personal Lines LLC	715217	Agent - Personal Lines
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Casualty	8/16/2024
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Property	8/16/2024
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Personal Lines	1/10/2025