Individual Information

JEFFREY M DIEDERICH

Address:

MARION, IL 62959-5841

Status:

Active

Email:

licensing@diederichgroup.com

Date:

03/21/2003

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	172353	03/21/2003	Active	03/21/2003	03/31/2027
Non-Res. Surplus Lines Broker	3434472	04/24/2019	Active	04/24/2019	04/30/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	03/21/2003	Active	03/21/2003
Property	03/21/2003	Active	03/21/2003
Surplus Lines	04/24/2019	Active	04/24/2019

Company Name	Appointment Type	Status	Active Date
469
HARTFORD UNDERWRITERS INSURANCE COMPANY	Casualty	Active	03/01/2022
	Property	Active	03/01/2022
1525
Company Name	Appointment Type	Status	Active Date
NORCAL INSURANCE COMPANY	Casualty	Active	10/16/2019
584
Company Name	Appointment Type	Status	Active Date
ST PAUL FIRE AND MARINE INSURANCE COMPANY	Casualty	Active	01/20/2023
	Property	Active	01/20/2023

row(s) 1 - 5 of 5

Organization	Association Type	Type	Beg dte	End dte
DIEDERICH INS AGENCY LLC	Designated Resp Lic Prdcr	Agency	05/14/2020	-

1 - 1