black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DEREK KEITH BAILEY

PRODUCER NON-RESIDENT

License Number:
PRN181111
Status:
First Licensure:
09/03/2010
Cancel Date:
None

Mailing:
NASHVILLE, TN 37203
Phone:
+1 (615) 445-1090
Fax:
+1 (816) 237-3535
Email:
licensing@asurion.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/03/2010

Agency

Name Issue Date License Number Expiration Date Cancel Date
ASURION INSURANCE SERVICES INC
10/05/2010 AGN35488
ASURION PROTECTION SERVICES LLC
08/19/2013 AGN82112 07/14/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIANZ GLOBAL RISKS US INSURANCE COMPANY
12/13/2019 PCF780
CONTINENTAL CASUALTY COMPANY
09/04/2013 PCF420 05/16/2017
LIBERTY INSURANCE UNDERWRITERS INC
02/15/2013 PCF175807 01/31/2023
LIBERTY MUTUAL INSURANCE COMPANY
03/17/2011 PCF331 01/31/2023
OLD REPUBLIC INSURANCE COMPANY
08/28/2013 PCF543 11/24/2015
OLD REPUBLIC INSURANCE COMPANY
05/08/2017 PCF543 11/01/2019

Authority

Description Issue Date Termination Date Status
CASUALTY 09/03/2010 Active
PROPERTY 09/03/2010 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
15887358

Other Addresses

Address Type
NASHVILLE, TN 37203
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 11/04/2025 06:07:55 PM