DEPARTMENT OF INSURANCE

Name	Derrick, James T	DOIID	589658	NAIC NPN	2467577

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/23/2026		4/30/2029
Active	Non Resident	Agent	Health	10/23/2026		4/30/2029
Inactive	Non Resident	Agent	Property	5/20/2004	4/30/2011
Inactive	Non Resident	Agent	Casualty	5/20/2004	4/30/2011
Denied	Non Resident	Managing General Agent	Not Applicable

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	317 Bethel Way Simpsonville, SC 296815954
Residence	Not Public Information

Internet Information

Type	Address
Business Email	tderrick@beaconpointe.com

Phone Information

Type	Phone
Business / Home Office	(864) 420-3309