DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wellington, Derk	DOIID	736728	NAIC NPN	11127112

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/3/2017		7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/24/2019	12/18/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	11/1/2022	12/18/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021	12/18/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/11/2017	5/10/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/25/2011	3/22/2013
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	12/18/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/25/2011	3/22/2013
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/11/2017	5/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	7/31/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/11/2017	5/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/11/2017	5/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/8/2010	7/31/2013
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/11/2017	5/10/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/25/2011	3/22/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/17/2018	6/6/2019
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	4/26/2011	10/17/2011