black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DEREK MICHAEL BUCKOWSKY

PRODUCER NON-RESIDENT

License Number:
PRN370953
Status:
First Licensure:
12/14/2020
Cancel Date:
None

Mailing:
CHARLOTTE, NC 28277
Phone:
+1 (617) 921-0413
Fax:
+1 (617) 921-0413
Email:
dbuckowsky@ibenefitcommunication.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/14/2020

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE PROPERTY & CASUALTY INSURANCE COMPANY
04/08/2021 PCF44
COMBINED INSURANCE COMPANY OF AMERICA
04/06/2021 LHF144
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
10/31/2023 LHF250
STARMOUNT LIFE INSURANCE COMPANY
10/31/2023 LHD131525
UNUM INSURANCE COMPANY
10/31/2023 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
10/31/2023 LHD145

Authority

Description Issue Date Termination Date Status
HEALTH 12/14/2020 Active
LIFE 12/14/2020 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
13563129

Other Addresses

Address Type
CHARLOTTE, NC 28277
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: 11/26/2025 01:51:51 AM