black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MATTHEW S. BAUM

PRODUCER NON-RESIDENT

License Number:
PRN74980
Status:
First Licensure:
12/20/2000
Cancel Date:
None

Mailing:
CHATHAM, NJ 07928
Phone:
+1 (212) 915-7828
Email:
matt.baum@wtwco.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/29/2008
*** NOT ACTIVE *** 03/23/2005 02/28/2008
PRODUCER NON-RESIDENT 12/20/2000 03/22/2005

Agency

Name Issue Date License Number Expiration Date Cancel Date
WILLIS TOWERS WATSON NORTHEAST INC
02/19/2004 AGN74349 03/23/2005
WILLIS TOWERS WATSON NORTHEAST INC
06/12/2013 AGN74349

Employer

Name Issue Date License Number Expiration Date Cancel Date
EXECUTIVE RISK INDEMNITY INC.
03/08/2001 PCF42522 02/24/2004
FEDERAL INSURANCE COMPANY
03/08/2001 PCF439 02/20/2004
GREAT NORTHERN INSURANCE COMPANY
03/08/2001 PCF455 02/20/2004
PACIFIC INDEMNITY COMPANY
03/08/2001 PCF547 02/20/2004
VIGILANT INSURANCE COMPANY
03/08/2001 PCF613 02/20/2004

Authority

Description Issue Date Termination Date Status
CASUALTY 02/29/2008 Active
PROPERTY 02/29/2008 Active
PROPERTY AND CASUALTY 12/20/2000 03/23/2005 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1421268

Other Addresses

Address Type
WILLIS TOWERS WATSON NORTHEAST INC
200 LIBERTY ST FL 6
NEW YORK, NY 10281-0001
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: 10/15/2025 10:16:50 AM