DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Zambino, Derek Andrew	DOIID	1266474	NAIC NPN	10852127

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/3/2023		5/31/2027
Active	Non Resident	Agent	Life	4/3/2023		5/31/2027
Active	Non Resident	Agent	Property	4/3/2023		5/31/2027
Active	Non Resident	Agent	Health	4/3/2023		5/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025	04/01/2025	04/01/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arch Insurance Company	300688	Agent - Casualty	4/21/2023
Active	Arch Insurance Company	300688	Agent - Property	4/21/2023
Active	First Founders Assurance Company	1363276	Agent - Casualty	4/8/2025
Active	Trisura Insurance Company	1077019	Agent - Casualty	4/9/2025
Active	Trisura Insurance Company	1077019	Agent - Property	4/9/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Assuredpartners Of New Jersey LLC	828232	Agent - Life
Pending	Assuredpartners Of New Jersey LLC	828232	Agent - Health