black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARK D. DERRENBERGER

PRODUCER NON-RESIDENT

License Number:
PRN44836
Status:
Active
First Licensure:
02/13/1996
Cancel Date:
None

Mailing:
GARDEN CITY, NY 11530
Phone:
+1 (516) 742-8585
Fax:
+1 (516) 746-7875
Email:
pventrelli@rmshg.com

History
License Type Start Date End Date
PRODUCER NON-RESIDENT 07/26/2019
*** NOT ACTIVE *** 07/25/2019 07/25/2019
PRODUCER NON-RESIDENT 02/13/1996 07/24/2019

Agency
Name Issue Date License Number Expiration Date Cancel Date
BETHPAGE RISK MANAGEMENT SERVICES LLC
 10/07/2023 AGN466268
CLUB AGENCY INSURANCE BROKERAGE LLC
 03/16/2005 AGN111679 02/13/2009
CLUB AGENCY INSURANCE BROKERAGE LLC
 07/27/2019 AGN111679
INSURANCE PROTECTION ADVISORS LLC
 11/14/2021 AGN403575
RMS INSURANCE BROKERAGE LLC
 08/13/2002 AGN88319 07/25/2019
RMS INSURANCE BROKERAGE LLC
 07/26/2019 AGN88319
RMS PROGRAMS LLC
 05/12/2023 AGN451519
THE WHITMORE GROUP LTD
 11/04/1997 AGN51967 01/01/2003
THE WHITMORE GROUP LTD
 01/31/2003 AGN51967 04/09/2007

Employer
Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
 03/08/2016 PCF640 07/25/2019
AIG PROPERTY CASUALTY COMPANY
 05/15/2009 PCF393 07/25/2019
AIU INSURANCE COMPANY
 10/11/2004 PCF308 07/25/2019
AMERICAN FAMILY HOME INSURANCE
 10/25/2021 PCF201383
AMTRUST INSURANCE COMPANY
 09/20/2022 PCF260762
ARCH INSURANCE COMPANY
 08/21/2002 PCF62719 10/26/2005
ARCH INSURANCE COMPANY
 10/31/2005 PCF62719 04/14/2011
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 04/26/2005 PCF659 06/30/2014
BANKERS STANDARD INSURANCE COMPANY
 03/08/2016 PCF152165 07/25/2019
COMMERCE AND INDUSTRY INSURANCE COMPANY
 09/15/2016 PCF413 07/25/2019
CRUM & FORSTER INDEMNITY COMPANY
 08/29/2019 PCF169608
DRIVERS EDGE INSURANCE COMPANY
 05/15/2009 PCF364 11/22/2011
ENCOMPASS INSURANCE COMPANY OF AMERICA
 10/27/2004 PCF90705 02/09/2009
FARMINGTON CASUALTY COMPANY
 04/12/2006 PCF995 06/30/2014
FEDERAL INSURANCE COMPANY
 06/13/1997 PCF439 07/25/2019
GLENS FALLS INSURANCE COMPANY
 10/27/2004 PCF786 12/31/2006
HARTFORD ACCIDENT & INDEMNITY COMPANY
 01/14/2004 PCF462 07/02/2008
HARTFORD CASUALTY INSURANCE COMPANY
 01/14/2004 PCF967 07/02/2008
HARTFORD FIRE INSURANCE COMPANY
 01/14/2004 PCF464 07/02/2008
HARTFORD INSURANCE COMPANY OF THE MIDWEST
 01/14/2004 PCF1021 07/02/2008
HARTFORD UNDERWRITERS INSURANCE COMPANY
 01/14/2004 PCF992 07/02/2008
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
 03/08/2016 PCF50104 07/25/2019
MOUNT VERNON FIRE INSURANCE COMPANY
 12/01/2015 PCF83792 07/25/2019
NATIONAL SPECIALTY INSURANCE COMPANY
 11/13/2023 PCF94585
NETHERLANDS INSURANCE COMPANY
 10/20/2015 PCF827 07/25/2019
NORTH RIVER INSURANCE COMPANY
 08/29/2019 PCF698
PACIFIC EMPLOYERS INSURANCE COMPANY
 03/08/2016 PCF546 07/25/2019
PACIFIC INDEMNITY COMPANY
 04/29/2025 PCF547
PEERLESS INSURANCE COMPANY
 10/20/2015 PCF548 07/25/2019
SECURITY NATIONAL INSURANCE COMPANY
 02/21/2019 PCF189490 07/25/2019
SECURITY NATIONAL INSURANCE COMPANY
 09/20/2022 PCF189490
SENECA INSURANCE COMPANY INC
 11/03/2021 PCF803
SEQUOIA INSURANCE COMPANY
 09/20/2022 PCF128467
THE STANDARD FIRE INSURANCE COMPANY
 04/26/2005 PCF584 06/30/2014
STATE NATIONAL INSURANCE COMPANY INC.
 11/13/2023 PCF75933
TECHNOLOGY INSURANCE COMPANY INC
 02/21/2019 PCF136874 07/25/2019
TECHNOLOGY INSURANCE COMPANY INC
 09/20/2022 PCF136874
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
 06/06/2002 PCF31810 06/30/2014
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
 04/12/2006 PCF935 06/30/2014
TRAVELERS COMMERCIAL INSURANCE COMPANY
 06/18/2007 PCF31811 06/30/2014
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 04/26/2005 PCF585 06/30/2014
THE TRAVELERS INDEMNITY COMPANY
 09/20/1999 PCF602 06/30/2014
TRAVELERS PERSONAL INSURANCE COMPANY
 10/28/2021 PCF201268
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY
 06/06/2002 PCF31808 06/30/2014
TWIN CITY FIRE INSURANCE COMPANY
 01/14/2004 PCF963 07/02/2008
TWIN CITY FIRE INSURANCE COMPANY
 04/10/2018 PCF963 07/25/2019
UNITED STATES FIRE INSURANCE COMPANY
 08/29/2019 PCF101256
WESCO INSURANCE COMPANY
 02/21/2019 PCF49735 07/25/2019
WESCO INSURANCE COMPANY
 09/20/2022 PCF49735

Authority
Description Issue Date Termination Date Status
CASUALTY 07/26/2019 Active
PROPERTY 07/26/2019 Active
SURPLUS LINES 07/02/2021 Active
CASUALTY 02/13/1996 07/25/2019 Terminated
INDEPENDENT PRODUCER 02/13/1996 09/28/2011 Terminated
PROPERTY 02/13/1996 07/25/2019 Terminated
SURPLUS LINES 03/01/2004 07/25/2019 Terminated

Responsible For
Name License Number
BETHPAGE RISK MANAGEMENT SERVICES LLC AGN466268
CLUB AGENCY INSURANCE BROKERAGE LLC AGN111679
INSURANCE PROTECTION ADVISORS LLC AGN403575
RMS INSURANCE BROKERAGE LLC AGN88319
RMS PROGRAMS LLC AGN451519

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
367192

Other Addresses
Address Type
GARDEN CITY, NY 11530
 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: 05/23/2025 06:43:12 PM