black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SUSAN DEROIN

PRODUCER NON-RESIDENT

License Number:
PRN498858
Status:
First Licensure:
10/18/2024
Cancel Date:
None

Mailing:
ROCHESTER, NY 14623
Phone:
+1 (585) 218-6968
Fax:
+1 (585) 389-7270
Email:
sderoin@paychex.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/18/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
PAYCHEX INSURANCE AGENCY INC
10/21/2024 AGN56888

Employer

Name Issue Date License Number Expiration Date Cancel Date
MAINE DENTAL SERVICE CORP
10/22/2024 NPD29330
RED TREE INSURANCE COMPANY INC
10/22/2024 LHF174438

Authority

Description Issue Date Termination Date Status
HEALTH 10/18/2024 Active
LIFE 10/18/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19314333

Other Addresses

Address Type
ROCHESTER, NY 14623
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: 05/16/2025 05:32:13 AM