black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BRIAN E. DEROSS

PRODUCER NON-RESIDENT

License Number:
PRN500198
Status:
First Licensure:
11/01/2024
Cancel Date:
None

Mailing:
JACKSON, NJ 08527
Phone:
+1 (732) 308-9500
Fax:
+1 (732) 308-4555
Email:
brdeross@fjins.net

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/01/2024

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE PROPERTY & CASUALTY INSURANCE COMPANY
11/05/2024 PCF44
CIGNA HEALTH AND LIFE INSURANCE COMPANY
12/20/2024 LHF860
INSURANCE COMPANY OF NORTH AMERICA
09/20/2025 PCF480
LOYAL AMERICAN LIFE INSURANCE COMPANY
12/17/2024 LHF207 10/23/2025
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
03/20/2025 LHF183
WELLCARE PRESCRIPTION INSURANCE INC
11/28/2024 LHF121869

Authority

Description Issue Date Termination Date Status
HEALTH 11/01/2024 Active
LIFE 11/01/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6410994

Other Addresses

Address Type
54 JERSEYVILLE AVE
FREEHOLD, NJ 07728-2369
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: 02/27/2026 01:33:44 PM