black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHAEL A. DEROCCKIS

PRODUCER NON-RESIDENT

License Number:
PRN214129
Status:
First Licensure:
03/02/2013
Cancel Date:
None

Mailing:
SHREWSBURY, NJ 07702
Phone:
+1 (732) 542-4030
Fax:
+1 (732) 542-4035
Email:
michael@mdragency.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/02/2013

Agency

Name Issue Date License Number Expiration Date Cancel Date
MDR AGENCY INC
03/13/2013 AGN214434

Employer

Name Issue Date License Number Expiration Date Cancel Date
BERKLEY REGIONAL INSURANCE COMPANY
07/19/2022 PCF48727
XL SPECIALTY INSURANCE COMPANY
04/03/2013 PCF43958 07/11/2022
XL SPECIALTY INSURANCE COMPANY
07/20/2022 PCF43958

Authority

Description Issue Date Termination Date Status
CASUALTY 03/02/2013 Active
HEALTH 03/02/2013 Active
PROPERTY 03/02/2013 Active

Responsible For

Name License Number
MDR AGENCY INC AGN214434

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5732688

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: 11/11/2025 05:15:52 PM