black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHAEL DERBY

PRODUCER NON-RESIDENT

License Number:
PRN320812
Status:
First Licensure:
11/03/2018
Cancel Date:
None

Mailing:
FAIRFIELD, CT 06825
Phone:
+1 (203) 761-1527
Email:
michael.derby@jpmorgan.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/03/2018

Agency

Name Issue Date License Number Expiration Date Cancel Date
CITIGROUP LIFE AGENCY LLC
11/05/2018 AGN165158

Employer

Name Issue Date License Number Expiration Date Cancel Date
ATHENE ANNUITY AND LIFE COMPANY
08/12/2023 LHF64369
BRIGHTHOUSE LIFE INSURANCE COMPANY
11/06/2018 LHF277
PACIFIC LIFE INSURANCE COMPANY
06/20/2024 LHF237

Authority

Description Issue Date Termination Date Status
HEALTH 11/03/2018 Active
LIFE 11/03/2018 Active
VARIABLE CONTRACTS 11/03/2018 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18186802

Other Addresses

Address Type
2272 BLACK ROCK TPKE
FAIRFIELD, CT 06825-3219
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: 12/04/2025 06:02:33 PM