black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CHARLES L. DERRICK

PRODUCER NON-RESIDENT

License Number:
PRN250648
Status:
First Licensure:
05/22/2015
Cancel Date:
None

Mailing:
ANNAPOLIS, MD 21401
Phone:
+1 (410) 263-9708
Email:
charles_l_derrick@glic.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/22/2015

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA
09/15/2025 LHF846
BANNER LIFE INSURANCE COMPANY
12/21/2020 LHF50047
BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA
05/26/2015 LHF804
GUARDIAN INSURANCE & ANNUITY COMPANY INC
05/26/2015 LHF27827
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
05/26/2015 LHF644 06/21/2023
JACKSON NATIONAL LIFE INSURANCE COMPANY
12/30/2015 LHF45199
NATIONWIDE LIFE INSURANCE COMPANY
11/19/2019 LHF29 09/18/2023

Authority

Description Issue Date Termination Date Status
LIFE 05/22/2015 Active
VARIABLE CONTRACTS 05/22/2015 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7908280

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: 10/24/2025 11:24:34 AM