black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

COLLEEN MARUE DERRIVAN

PRODUCER RESIDENT

License Number:
PRR516053
Status:
First Licensure:
05/20/2025
Cancel Date:
None
Renewal Date:
06/30/2027

Continuing Education:
Required by 06/30/2027
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
SACO, ME 04072
Phone:
+1 (207) 205-6396
Email:
colleen.derrivan@gmail.com

History

License Type Start Date End Date
PRODUCER RESIDENT 05/20/2025 06/30/2027

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACADIA INSURANCE COMPANY
06/10/2026 PCF35064
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
06/10/2026 PCF864
ALLSTATE INDEMNITY COMPANY
06/10/2026 PCF522
ALLSTATE INSURANCE COMPANY
06/10/2026 PCF354
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
06/10/2026 PCF84066
BRISTOL WEST INSURANCE COMPANY
06/08/2026 PCF78370
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
06/08/2026 PCF396
THE CHARTER OAK FIRE INSURANCE COMPANY
06/11/2026 PCF403
THE CINCINNATI CASUALTY COMPANY
06/04/2026 PCF137248
THE CINCINNATI INDEMNITY COMPANY
06/04/2026 PCF137240
THE CINCINNATI INSURANCE COMPANY
06/04/2026 PCF989
COMMERCE INSURANCE COMPANY (THE)
06/03/2026 PCF53427
CONCORD GENERAL MUTUAL INSURANCE COMPANY
06/04/2026 PCF416
CONTINENTAL WESTERN INSURANCE COMPANY
06/10/2026 PCF673
COUNTRYWAY INSURANCE COMPANY
06/05/2026 PCF98
FARMERS CASUALTY INSURANCE COMPANY
06/08/2026 PCF895
FARMERS DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY
06/08/2026 PCF267721
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
06/08/2026 PCF714
FIREMEN'S INSURANCE COMPANY OF WASHINGTON DC
06/10/2026 PCF35141
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
06/08/2026 PCF445
GREEN MOUNTAIN INSURANCE COMPANY INC
06/04/2026 PCF73
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
06/08/2026 PCF79
PATRIOT INSURANCE COMPANY
06/10/2026 PCD208274
THE PHOENIX INSURANCE COMPANY
06/11/2026 PCF557
PROGRESSIVE NORTHERN INSURANCE COMPANY
06/05/2026 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
06/05/2026 PCF27738
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
06/11/2026 PCF575
ST. PAUL GUARDIAN INSURANCE COMPANY
06/11/2026 PCF701
ST. PAUL MERCURY INSURANCE COMPANY
06/11/2026 PCF576
STATE MUTUAL INSURANCE COMPANY
06/04/2026 PCD102
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
06/11/2026 PCF585
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
06/11/2026 PCF435
THE TRAVELERS INDEMNITY COMPANY
06/11/2026 PCF602
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
06/11/2026 PCF711
TRI STATE INSURANCE COMPANY OF MINNESOTA
06/10/2026 PCF146321
UNION INSURANCE COMPANY
06/10/2026 PCF141739
VERMONT ACCIDENT INSURANCE COMPANY INC
06/04/2026 PCF883

Authority

Description Issue Date Termination Date Status
CASUALTY 05/20/2025 Active
HEALTH 05/20/2025 Active
LIFE 05/20/2025 Active
PROPERTY 05/20/2025 Active
PERSONAL LINES 05/20/2025 05/20/2025 Terminated

License/Disciplinary Action

None.

PRODUCER NON-RESIDENT

License Number:
PRN363757
First Licensure:
10/03/2020
Cancel Date:
05/20/2025
Renewal Date:
05/20/2025

Mailing:
SACO, ME 04072
Phone:
+1 (207) 205-6396
Email:
colleen.derrivan@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/03/2020 05/19/2025

Agency

None.

Employer

None.

Authority

Description Issue Date Termination Date Status
CASUALTY 10/03/2020 05/20/2025 Terminated
HEALTH 10/03/2020 05/20/2025 Terminated
LIFE 10/03/2020 05/20/2025 Terminated
PROPERTY 10/03/2020 05/20/2025 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9565319

Other Addresses

Address Type
SACO, ME 04072
Office

Other Phone Numbers

Phone Number Type
+1 (207) 205-6396 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: 06/14/2026 01:28:17 AM