MARK D DERRENBERGER

Agent ID:	208910
National Producer ID:	367192
Mailing Address:	RMS INSURANCE
	100 RING RD W UNIT 200
	GARDEN CITY, NY 11530-3217
Resident State:	NJ
Phone:	516-742-8585

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	9/11/2017	10/31/2026
Surplus Lines Ins	Active	2/21/2014	10/31/2027

Notice: As a result of a data conversion some licenses and qualifications reflect a 10/27/2009 issue date when in fact the license may have been held prior to this date. If you have any questions about the issue date of a license, please contact the Licensing Division of the Mississippi Insurance Department by telephone 601-359-3582 or by email at licensing@mid.ms.gov.

Agent Qualifications

Type	Issue Date
Casualty	9/11/2017
Personal Lines	9/11/2017
Property	9/11/2017

Agent Appointments

14 Records Found

License Number	Company Name	Issue Date
0000030	AmGuard Insurance Company	6/14/2023
9200028	AmTrust Insurance Company	5/17/2023
7700597	American Family Home Insurance Company	10/25/2021
7700646	CUMIS Insurance Society, Inc.	10/16/2025
0300044	Crum & Forster Indemnity Company	8/29/2019
7700746	National Specialty Insurance Company	11/13/2023
0000028	NorGuard Insurance Company	6/14/2023
7700888	North River Insurance Company, The	8/29/2019
9200027	Security National Insurance Company	5/17/2023
0600005	Sequoia Insurance Company	5/17/2023
9300028	State National Insurance Company, Inc.	11/13/2023
0200040	Technology Insurance Company, Inc.	5/17/2023
0300045	United States Fire Insurance Company	8/29/2019
8900037	Wesco Insurance Company	5/17/2023