DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Derrell Darnell	DOIID	947632	NAIC NPN	646693

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/19/2023		12/31/2025
Active	Non Resident	Agent	Life	5/18/2023		12/31/2025
Active	Non Resident	Agent	Health	5/18/2023		12/31/2025
Active	Non Resident	Agent	Casualty	5/19/2023		12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/16/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	5/16/2025
Active	SilverScript Insurance Company	663526	Agent - Health	5/16/2025
Inactive	Spinnaker Insurance Company	300099	Agent - Casualty	5/26/2023	4/7/2025
Inactive	Spinnaker Insurance Company	300099	Agent - Property	5/26/2023	5/27/2025
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	3/21/2017	6/20/2019
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	3/21/2017	6/20/2019
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	3/21/2017	6/20/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Simply Business, LLC	962617	Agent - Property	8/1/2023	4/24/2025
Inactive	Simply Business, LLC	962617	Agent - Casualty	8/1/2023	4/7/2025
Denied	Simply Business, LLC	962617	Agent - Life
Denied	Simply Business, LLC	962617	Agent - Health