black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DEREK MICHAEL SCHULTZ

PRODUCER NON-RESIDENT

License Number:
PRN152762
Status:
First Licensure:
04/19/2008
Cancel Date:
None

Mailing:
FRAMINGHAM, MA 01701
Phone:
+1 (508) 370-0002
Fax:
+1 (508) 370-0758
Email:
derek@iisagency.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/19/2008

Agency

Name Issue Date License Number Expiration Date Cancel Date
INTEGRATED INSURANCE SOLUTIONS LLC
04/24/2008 AGN152889

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
08/28/2013 HMD45749 07/27/2022
AETNA LIFE INSURANCE COMPANY
08/28/2013 LHF621 07/27/2022
ALLIED INSURANCE COMPANY OF AMERICA
10/05/2021 PCF216138
AMERICAN ECONOMY INSURANCE COMPANY
12/16/2008 PCF363 03/12/2021
AMERICAN ECONOMY INSURANCE COMPANY
08/19/2021 PCF363 10/10/2024
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
01/12/2016 LHF645 04/01/2018
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
04/01/2018 LHF306110 05/13/2021
AMERICAN STATES INSURANCE COMPANY
12/16/2008 PCF377 03/12/2021
ARCH INSURANCE COMPANY
05/06/2025 PCF62719
CONCORD GENERAL MUTUAL INSURANCE COMPANY
05/08/2024 PCF416
CONTINENTAL INSURANCE COMPANY
08/10/2020 PCF782
DEARBORN LIFE INSURANCE COMPANY
09/04/2013 LHF919
DOCTORS' COMPANY AN INTER-INSURANCE EXCHANGE
09/12/2018 PCF32218 12/07/2020
EXCELSIOR INSURANCE COMPANY
12/16/2008 PCF46786 04/26/2024
FIRST NATIONAL INSURANCE COMPANY OF AMERICA
12/16/2008 PCF71263 03/12/2021
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
06/28/2011 PCF445
GENERAL INSURANCE COMPANY OF AMERICA
12/16/2008 PCF447 03/12/2021
GRAPHIC ARTS MUTUAL INSURANCE COMPANY
05/07/2013 PCF453 08/28/2023
GREEN MOUNTAIN INSURANCE COMPANY INC
05/08/2024 PCF73
HARLEYSVILLE INSURANCE COMPANY
06/28/2011 PCF129870
HARLEYSVILLE MUTUAL INSURANCE COMPANY
06/28/2011 PCF74622 05/01/2012
HARLEYSVILLE PREFERRED INSURANCE COMPANY
06/28/2011 PCF128998
HARLEYSVILLE WORCESTER INSURANCE COMPANY
06/28/2011 PCF908
HARTFORD CASUALTY INSURANCE COMPANY
04/28/2016 PCF967 01/19/2018
HARTFORD FIRE INSURANCE COMPANY
09/20/2021 PCF464
HARTFORD UNDERWRITERS INSURANCE COMPANY
08/23/2020 PCF992
MOUNT VERNON FIRE INSURANCE COMPANY
09/02/2011 PCF83792
NATIONWIDE ASSURANCE COMPANY
12/30/2019 PCF38952 09/25/2023
NATIONWIDE GENERAL INSURANCE COMPANY
12/07/2018 PCF30 09/25/2023
NATIONWIDE INSURANCE COMPANY OF AMERICA
12/30/2019 PCF422 09/25/2023
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
12/07/2018 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
04/25/2012 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
12/30/2019 PCF151089 09/25/2023
NETHERLANDS INSURANCE COMPANY
12/16/2008 PCF827 04/26/2024
OHIO CASUALTY INSURANCE COMPANY
12/16/2008 PCF73059 03/12/2021
OHIO SECURITY INSURANCE COMPANY
07/25/2023 PCF200581
OLD UNITED CASUALTY COMPANY
07/01/2012 PCF78000 02/03/2014
PEERLESS INDEMNITY INSURANCE COMPANY
12/16/2008 PCF97399 12/23/2021
PEERLESS INSURANCE COMPANY
12/16/2008 PCF548
PROGRESSIVE NORTHERN INSURANCE COMPANY
07/12/2022 PCF51006
SECURIAN LIFE INSURANCE COMPANY
08/19/2013 LHF120264 07/14/2020
SELECTIVE INSURANCE COMPANY OF AMERICA
10/15/2024 PCF456095
SELECTIVE INSURANCE COMPANY OF NEW YORK
10/15/2024 PCF437
SELECTIVE INSURANCE COMPANY OF SOUTH CAROLINA
10/15/2024 PCF456097
SELECTIVE INSURANCE COMPANY OF THE SOUTHEAST
10/15/2024 PCF456098
SELECTIVE WAY INSURANCE COMPANY
10/15/2024 PCF456096
THE STANDARD FIRE INSURANCE COMPANY
04/14/2023 PCF584
TRANSPORTATION INSURANCE COMPANY
07/15/2020 PCF601
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
11/23/2022 PCF935
TRAVELERS PERSONAL INSURANCE COMPANY
03/27/2023 PCF201268
TWIN CITY FIRE INSURANCE COMPANY
05/17/2017 PCF963
UTICA MUTUAL INSURANCE COMPANY
05/07/2013 PCF610 08/28/2023
VERMONT ACCIDENT INSURANCE COMPANY INC
05/08/2024 PCF883

Authority

Description Issue Date Termination Date Status
CASUALTY 04/19/2008 Active
HEALTH 04/19/2008 Active
LIFE 04/19/2008 Active
PROPERTY 04/19/2008 Active

Responsible For

Name License Number
INTEGRATED INSURANCE SOLUTIONS LLC AGN152889

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2317040

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: 05/15/2025 12:47:36 AM