DEPARTMENT OF INSURANCE

Affiliations

Name	Bailey, Derrick	DOIID	758602	NAIC NPN	7871061

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/5/2022	1/31/2026
Active	Non Resident	Agent	Property	5/5/2022	1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	7/29/2022
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	7/29/2022
Active	CSAA General Insurance Company	606675	Agent - Casualty	7/29/2022
Active	CSAA General Insurance Company	606675	Agent - Property	7/29/2022
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	7/27/2015	6/29/2016
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	7/27/2015	6/29/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/30/2012	6/10/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/30/2012	6/10/2015
Inactive	LM General Insurance Company	300133	Agent - Casualty	7/27/2015	6/29/2016
Inactive	LM General Insurance Company	300133	Agent - Property	7/27/2015	6/29/2016
Inactive	LM Insurance Corporation	301061	Agent - Casualty	7/27/2015	6/29/2016
Inactive	LM Insurance Corporation	301061	Agent - Property	7/27/2015	6/29/2016
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	7/27/2015	6/29/2016
Inactive	Liberty Insurance Corporation	300444	Agent - Property	7/27/2015	6/29/2016
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	7/27/2015	6/29/2016
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	7/27/2015	6/29/2016
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	7/27/2015	6/29/2016
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	7/27/2015	6/29/2016
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	8/16/2012	4/29/2015
Inactive	Praetorian Insurance Company	301021	Agent - Property	8/16/2012	4/29/2015
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	6/13/2012	4/29/2015
Inactive	QBE Insurance Corporation	300515	Agent - Property	6/13/2012	4/29/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/3/2012	4/14/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/3/2012	4/14/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/3/2012	4/14/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/3/2012	4/14/2015
Inactive	Tesla Insurance Company	300337	Agent - Casualty	5/7/2012	9/7/2012
Inactive	Tesla Insurance Company	300337	Agent - Property	5/7/2012	9/7/2012
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	4/6/2012	6/27/2012
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	4/6/2012	6/27/2012
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	8/9/2011	6/27/2012
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	8/9/2011	6/27/2012
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/9/2011	6/27/2012
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/9/2011	6/27/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Casualty	5/23/2012	4/16/2015
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Property	5/23/2012	4/16/2015