black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

P DEREK TEN BROECK JR

PRODUCER NON-RESIDENT

License Number:
PRN138744
Status:
First Licensure:
04/14/2007
Cancel Date:
None

Mailing:
PEPPERELL, MA 01463
Phone:
+1 (978) 433-6300
Fax:
+1 (978) 433-6377
Email:
derek@tenbroeckins.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/14/2007

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN GENERAL LIFE INSURANCE COMPANY
01/31/2023 LHF119
AUGUSTAR LIFE ASSURANCE CORPORATION
08/30/2007 LHF45031 11/22/2013
C M LIFE INSURANCE COMPANY
05/30/2007 LHF906 02/10/2009
FORETHOUGHT LIFE INSURANCE COMPANY
12/20/2022 LHF1013
LINCOLN NATIONAL LIFE INSURANCE COMPANY-THE
12/04/2007 LHF619
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY
05/30/2007 LHF17 02/10/2009
MUTUAL OF OMAHA INSURANCE COMPANY
12/14/2007 LHF84 12/03/2013
PRINCIPAL NATIONAL LIFE INSURANCE COMPANY
03/20/2023 LHF161852
UNITED OF OMAHA LIFE INSURANCE COMPANY
12/14/2007 LHF28
UNITEDHEALTHCARE INSURANCE COMPANY
10/28/2019 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
11/01/2021 HMF393375

Authority

Description Issue Date Termination Date Status
HEALTH 04/14/2007 Active
LIFE 04/14/2007 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3353702

Other Addresses

Address Type
TENBROECK INSURANCE GROUP
3 HOLLIS ST
PEPPERELL, MA 01463-1410
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: 05/25/2025 11:40:58 PM