PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameDerby Insurance Agency, Inc.DOIID832045NAIC NPN17174373
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentCasualty1/22/2014 3/31/2026
ActiveResidentAgentHealth1/22/2014 3/31/2026
ActiveResidentAgentLife1/22/2014 3/31/2026
ActiveResidentAgentProperty1/22/2014 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllstate Indemnity Company300778Agent - Casualty3/19/2014 
ActiveAllstate Indemnity Company300778Agent - Property3/19/2014 
ActiveAllstate Insurance Company300773Agent - Casualty3/19/2014 
ActiveAllstate Insurance Company300773Agent - Property3/19/2014 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Casualty3/19/2014 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Property3/19/2014 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty3/19/2014 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Property3/19/2014 
InactiveAmerican Economy Insurance Company300315Agent - Casualty11/14/20183/29/2024
InactiveAmerican Economy Insurance Company300315Agent - Property11/14/20183/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Casualty11/14/20183/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property11/14/20183/29/2024
InactiveAmerican States Insurance Company301230Agent - Casualty11/14/20183/29/2024
InactiveAmerican States Insurance Company301230Agent - Property11/14/20183/29/2024
InactiveAuto-Owners Insurance Company301480Agent - Casualty3/5/20148/24/2017
InactiveAuto-Owners Insurance Company301480Agent - Property3/5/20148/24/2017
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty2/25/201611/30/2017
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property2/25/201611/30/2017
InactiveBristol West Insurance Company301655Agent - Casualty3/19/201412/7/2017
InactiveBristol West Insurance Company301655Agent - Property3/19/201412/7/2017
InactiveClearPath Insurance Company979815Agent - Casualty5/11/202211/13/2024
InactiveConsolidated Insurance Company300943Agent - Casualty11/14/201810/13/2022
InactiveConsolidated Insurance Company300943Agent - Property11/14/201810/13/2022
ActiveEmployers Insurance Company of Wausau301813Agent - Casualty11/14/2018 
ActiveEmployers Insurance Company of Wausau301813Agent - Property11/14/2018 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty11/14/2018 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Property11/14/2018 
InactiveFirst National Insurance Company of America301690Agent - Casualty11/14/201810/13/2022
InactiveFirst National Insurance Company of America301690Agent - Property11/14/201810/13/2022
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty3/19/2014 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property3/19/2014 
InactiveGeneral Insurance Company of America300261Agent - Casualty11/14/20183/29/2024
InactiveGeneral Insurance Company of America300261Agent - Property11/14/20183/29/2024
ActiveGrange Indemnity Insurance Company300793Agent - Casualty2/15/2014 
ActiveGrange Indemnity Insurance Company300793Agent - Property2/15/2014 
ActiveGrange Insurance Company300234Agent - Casualty2/15/2014 
ActiveGrange Insurance Company300234Agent - Property2/15/2014 
InactiveGrange Life Insurance Company300128Agent - Health2/15/20143/31/2021
InactiveGrange Life Insurance Company300128Agent - Life2/15/20143/31/2021
ActiveGrange Property & Casualty Insurance Company601680Agent - Casualty2/15/2014 
ActiveGrange Property & Casualty Insurance Company601680Agent - Property2/15/2014 
InactiveIndiana Insurance Company301909Agent - Casualty11/14/20182/3/2023
InactiveIndiana Insurance Company301909Agent - Property11/14/20182/3/2023
ActiveLM Insurance Corporation301061Agent - Casualty11/14/2018 
ActiveLM Insurance Corporation301061Agent - Property11/14/2018 
ActiveLiberty Insurance Corporation300444Agent - Casualty11/14/2018 
ActiveLiberty Insurance Corporation300444Agent - Property11/14/2018 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Casualty11/14/2018 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Property11/14/2018 
ActiveLiberty Mutual Insurance Company301159Agent - Casualty11/14/2018 
ActiveLiberty Mutual Insurance Company301159Agent - Property11/14/2018 
InactiveMeridian Citizens Mutual Insurance Company300935Agent - Casualty1/29/20146/30/2014
InactiveMeridian Citizens Mutual Insurance Company300935Agent - Property1/29/20146/30/2014
InactiveMeridian Security Insurance Company300423Agent - Casualty1/29/20145/27/2015
InactiveMeridian Security Insurance Company300423Agent - Property1/29/20145/27/2015
InactiveNetherlands Insurance Company (The)300339Agent - Casualty11/14/20185/10/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property11/14/20185/10/2024
ActiveOhio Casualty Insurance Company301492Agent - Casualty11/14/2018 
ActiveOhio Casualty Insurance Company301492Agent - Property11/14/2018 
InactiveOhio Security Insurance Company300622Agent - Casualty11/14/20183/29/2024
InactiveOhio Security Insurance Company300622Agent - Property11/14/20183/29/2024
InactiveOwners Insurance Company300796Agent - Casualty3/5/20148/24/2017
InactiveOwners Insurance Company300796Agent - Property3/5/20148/24/2017
InactivePeerless Indemnity Insurance Company571682Agent - Casualty11/14/20189/26/2024
InactivePeerless Indemnity Insurance Company571682Agent - Property11/14/20189/26/2024
InactivePeerless Insurance Company301910Agent - Casualty11/14/20185/8/2025
InactivePeerless Insurance Company301910Agent - Property11/14/20185/8/2025
InactiveProgressive Casualty Insurance Company300696Agent - Casualty2/11/201412/19/2023
InactiveProgressive Casualty Insurance Company300696Agent - Property2/11/201412/19/2023
InactiveSAFECO Insurance Company of America300159Agent - Casualty11/14/20183/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property11/14/20183/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty11/14/20183/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property11/14/20183/29/2024
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty2/28/20145/4/2018
InactiveStandard Fire Insurance Company (The)301068Agent - Property2/28/20145/4/2018
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty1/29/20145/27/2015
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property1/29/20145/27/2015
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty1/29/20145/27/2015
InactiveState Automobile Mutual Insurance Company301824Agent - Property1/29/20145/27/2015
InactiveThe Phoenix Insurance Company301502Agent - Casualty2/25/201611/30/2017
InactiveThe Phoenix Insurance Company301502Agent - Property2/25/201611/30/2017
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty2/28/20147/27/2018
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property2/28/20147/27/2018
ActiveTrustgard Insurance Company300104Agent - Casualty2/15/2014 
ActiveTrustgard Insurance Company300104Agent - Property2/15/2014 
InactiveUnited Financial Casualty Company301886Agent - Casualty2/11/201412/19/2023
InactiveUnited Financial Casualty Company301886Agent - Property2/11/201412/19/2023
InactiveWausau Underwriters Insurance Company301105Agent - Casualty3/13/20148/27/2015
InactiveWausau Underwriters Insurance Company301105Agent - Property3/13/20148/27/2015
InactiveWest American Insurance Company301112Agent - Casualty11/14/20183/29/2024
InactiveWest American Insurance Company301112Agent - Property11/14/20183/29/2024
ActiveWestern Surety Company300283Agent - Casualty3/6/2014 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAbsher, Ashley 908946Agent - Casualty3/29/20166/23/2016
InactiveAbsher, Ashley 908946Agent - Property3/29/20166/23/2016
ActiveBenge, Rayna A 582669Agent - Casualty3/5/2014 
ActiveBenge, Rayna A 582669Agent - Property3/5/2014 
InactiveFrei, Katrina 832370Agent - Casualty3/3/20141/8/2021
InactiveFrei, Katrina 832370Agent - Property3/3/20141/8/2021
InactiveLooney, Carolyn Denise 839584Agent - Casualty6/16/20147/30/2018
InactiveLooney, Carolyn Denise 839584Agent - Property6/16/20147/30/2018
ActiveLoveless, Sharon 937314Agent - Casualty1/4/2017 
ActiveLoveless, Sharon 937314Agent - Property1/4/2017 
InactiveOsborne, Sheri Lynn 748723Agent - Casualty10/5/20158/14/2020
InactiveOsborne, Sheri Lynn 748723Agent - Property10/5/20158/14/2020
ActivePatterson, Barbara Ann 333470Agent - Casualty2/10/2014 
InactivePatterson, Barbara Ann 333470Agent - Health3/5/20145/11/2023
InactivePatterson, Barbara Ann 333470Agent - Life2/10/20145/11/2023
ActivePatterson, Barbara Ann 333470Agent - Property2/10/2014 
ActivePatterson, Brandon 959702Agent - Casualty4/29/2020 
ActivePatterson, Brandon 959702Agent - Property4/29/2020 
ActivePatterson, Danny A 356025Agent - Casualty1/22/2014 
ActivePatterson, Danny A 356025Agent - Health1/22/2014 
ActivePatterson, Danny A 356025Agent - Life1/22/2014 
ActivePatterson, Danny A 356025Agent - Property1/22/2014 
ActivePatterson, Matthew Danny 362118Agent - Casualty1/30/2014 
InactivePatterson, Matthew Danny 362118Agent - Health1/30/201412/19/2018
InactivePatterson, Matthew Danny 362118Agent - Life1/30/20143/31/2021
ActivePatterson, Matthew Danny 362118Agent - Property1/30/2014 
InactiveSworden, Erica 940050Agent - Casualty1/9/201711/6/2017
InactiveSworden, Erica 940050Agent - Property1/9/201711/6/2017
ActiveTrammell, Janelle Gabrielle 955540Agent - Casualty10/4/2021 
ActiveTrammell, Janelle Gabrielle 955540Agent - Property10/4/2021 

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