black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BURNS & WILCOX LTD

One or more of the licenses listed below were subject to license/disciplinary action. Details regarding each action can be found below under the affected license.

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN81523
Status:
First Licensure:
10/19/2001
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
30833 NORTHWESTERN HWY STE 220
FARMINGTON HILLS, MI 48334-2582
Mailing:
30833 NORTHWESTERN HWY STE 220
FARMINGTON HILLS, MI 48334-2582
Phone:
+1 (248) 932-9000
Fax:
+1 (248) 327-4622
Email:
licensing@burns-wilcox.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/19/2001 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
09/29/2004 PCF640
ACE FIRE UNDERWRITERS INSURANCE COMPANY
12/13/2011 PCF43
ACE PROPERTY & CASUALTY INSURANCE COMPANY
12/13/2011 PCF44
AIG PROPERTY CASUALTY COMPANY
10/08/2012 PCF393
ALLIED WORLD INSURANCE COMPANY
05/19/2014 PCF54304
ALLIED WORLD SPECIALTY INSURANCE COMPANY
05/19/2014 PCF108064
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
03/15/2023 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
03/15/2023 PCF145893
AMERICAN GUARANTEE & LIABILITY INSURANCE COMPANY
09/10/2014 PCF366
AMERICAN MODERN HOME INSURANCE COMPANY
09/15/2004 PCF808 12/13/2023
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
10/16/2017 PCF234561
AMERICAN MODERN SELECT INSURANCE COMPANY
07/24/2008 PCF123448 10/28/2021
AMERICAN ZURICH INSURANCE COMPANY
09/10/2014 PCF914
ARCH INDEMNITY INSURANCE COMPANY
11/02/2021 PCF674
ARCH INSURANCE COMPANY
06/21/2018 PCF62719
ARGONAUT INSURANCE COMPANY
11/06/2017 PCF384
ATAIN INSURANCE COMPANY
01/17/2009 PCF161358
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
07/24/2018 PCF659 07/22/2021
BANKERS STANDARD INSURANCE COMPANY
06/11/2012 PCF152165
BERKLEY CASUALTY COMPANY
10/08/2019 PCF209213
BERKLEY REGIONAL INSURANCE COMPANY
06/09/2023 PCF48727
CANAL INSURANCE COMPANY
01/01/2024 PCF397
CAPITOL INDEMNITY CORPORATION
11/18/2016 PCF162568 11/19/2024
CAROLINA CASUALTY INSURANCE COMPANY
10/08/2019 PCF54
THE CHARTER OAK FIRE INSURANCE COMPANY
09/01/2015 PCF403 07/11/2017
CHUBB INDEMNITY INSURANCE COMPANY
10/13/2011 PCF591
CHUBB NATIONAL INSURANCE COMPANY
10/13/2011 PCF80404
CITIZENS INSURANCE COMPANY OF AMERICA
03/15/2023 PCF937
COLONY SPECIALTY INSURANCE COMPANY
04/02/2013 PCF171994
COMMERCE AND INDUSTRY INSURANCE COMPANY
09/03/2015 PCF413
CONTRACTORS BONDING AND INSURANCE COMPANY
03/17/2025 PCF1000
EMPLOYERS ASSURANCE COMPANY
11/28/2018 PCF285638 03/21/2024
EMPLOYERS COMPENSATION INSURANCE COMPANY
11/28/2018 PCF285639 03/21/2024
EMPLOYERS PREFERRED INSURANCE COMPANY
11/28/2018 PCF285637 03/21/2024
EXECUTIVE RISK INDEMNITY INC.
10/13/2011 PCF42522
FARMINGTON CASUALTY COMPANY
09/01/2015 PCF995
FEDERAL INSURANCE COMPANY
05/15/2002 PCF439
FIREMANS FUND INSURANCE COMPANY
02/19/2015 PCF443
FIRST FINANCIAL INSURANCE COMPANY
07/28/2016 PCF233325
GREAT AMERICAN INSURANCE COMPANY
12/18/2017 PCF764
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK
02/14/2013 PCF326
GREAT DIVIDE INSURANCE COMPANY
02/01/2016 PCF36251 05/24/2018
GREAT MIDWEST INSURANCE COMPANY
03/22/2016 PCF82030
GREAT NORTHERN INSURANCE COMPANY
10/13/2011 PCF455
THE HANOVER AMERICAN INSURANCE COMPANY
03/15/2023 PCF197298
THE HANOVER INSURANCE COMPANY
09/12/2022 PCF712
HDI GLOBAL INSURANCE COMPANY
08/03/2023 PCF167923
HUDSON INSURANCE COMPANY
11/04/2020 PCF165252
IMPERIUM INSURANCE COMPANY
03/22/2016 PCF80207
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
09/29/2004 PCF50104
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
08/26/2016 PCF482
MARKEL AMERICAN INSURANCE COMPANY
11/09/2012 PCF48506
MASSACHUSETTS BAY INSURANCE COMPANY
03/15/2023 PCF505
MIDVALE INDEMNITY COMPANY
08/25/2021 PCF79410
MIDWEST EMPLOYERS CASUALTY COMPANY
10/08/2019 PCF77580
MITSUI SUMITOMO INSURANCE COMPANY OF AMERICA
07/30/2018 PCF82584
MITSUI SUMITOMO INSURANCE USA INC
07/30/2018 PCF1019
MOUNT VERNON FIRE INSURANCE COMPANY
07/17/2008 PCF83792
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
08/26/2016 PCF527
NAVIGATORS INSURANCE COMPANY
08/10/2018 PCF47448
NEW HAMPSHIRE INSURANCE COMPANY
08/26/2016 PCF531
NORTHLAND INSURANCE COMPANY
02/11/2014 PCF537
OLD UNITED CASUALTY COMPANY
12/05/2011 PCF78000 02/05/2014
PACIFIC EMPLOYERS INSURANCE COMPANY
04/30/2013 PCF546
PACIFIC INDEMNITY COMPANY
10/13/2011 PCF547
PHILADELPHIA INDEMNITY INSURANCE COMPANY
03/21/2019 PCF46041
THE PHOENIX INSURANCE COMPANY
09/01/2015 PCF557 07/11/2017
PROTECTIVE INSURANCE COMPANY
01/30/2013 PCF655 01/17/2018
RLI INSURANCE COMPANY
02/01/2005 PCF695
SELECTIVE INSURANCE COMPANY OF NEW YORK
12/23/2014 PCF437 10/27/2023
SENECA INSURANCE COMPANY INC
04/15/2021 PCF803
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
07/24/2018 PCF575 07/22/2021
ST. PAUL GUARDIAN INSURANCE COMPANY
07/24/2018 PCF701 07/22/2021
ST. PAUL MERCURY INSURANCE COMPANY
07/24/2018 PCF576 07/22/2021
THE STANDARD FIRE INSURANCE COMPANY
09/01/2015 PCF584
STAR INSURANCE COMPANY
10/13/2023 PCF59785
STARNET INSURANCE COMPANY
10/08/2019 PCF103936
TESLA INSURANCE COMPANY
05/18/2004 PCF50 02/13/2008
TRAVELERS CASUALTY AND SURETY COMPANY
09/01/2015 PCF348
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
07/24/2018 PCF974
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
09/01/2015 PCF935 07/11/2017
TRAVELERS COMMERCIAL CASUALTY COMPANY
09/01/2015 PCF83507 07/11/2017
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
07/24/2018 PCF56556 07/22/2021
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
09/01/2015 PCF585 07/11/2017
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
09/01/2015 PCF435 07/11/2017
THE TRAVELERS INDEMNITY COMPANY
09/01/2015 PCF602 07/11/2017
TRAVELERS PERSONAL INSURANCE COMPANY
05/01/2020 PCF201268 07/22/2021
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
08/24/2010 PCF711 07/01/2014
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
03/12/2021 PCF711
VERLAN FIRE INSURANCE COMPANY
08/27/2020 PCF161934
VIGILANT INSURANCE COMPANY
10/13/2011 PCF613
WESTCHESTER FIRE INSURANCE COMPANY
09/29/2004 PCF335 01/01/2011
WESTCHESTER FIRE INSURANCE COMPANY
11/18/2010 PCF177973
ZURICH AMERICAN INSURANCE COMPANY
09/10/2014 PCF61397
ZURICH AMERICAN INSURANCE COMPANY OF ILLINOIS
09/10/2014 PCF165251

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
WRENNA ARMWOOD
03/11/2025 PRN157559
RYAN TYLER ASCENZO
06/17/2023 PRN454537
TREVOR S. BESSETTE
03/11/2025 PRN317595
KIMBERLY A. BILODEAU
03/11/2025 PRN250836
DENIS MICHAEL BRADY
11/03/2014 PRN169911
SAMUEL CARSON
07/30/2019 PRN335204
AMBER SAGE CARVER
02/20/2019 PRN326351
ANDREW THOMAS DEAN
08/06/2020 PRN358249
MICHAEL ELLIOTT DEFALCO
03/11/2025 PRN304527
JUSTIN KEALOHA DORMAN
03/20/2023 PRN365379
NATHAN EDWARD DURDEN
03/20/2023 PRN364002
NICHOLAS AUSTIN ESTY
05/16/2023 PRR281339
EMILY FERGUSON
03/11/2025 PRN448378
SHERYL SIMONE FIORILLO
03/20/2023 PRN186088
JONNALYN FITZPATRICK
03/20/2023 PRN265588
QUINN A. GLASNAPP
03/11/2025 PRN227006
RICHARD LAKE GOBLER
03/20/2023 PRN251031
DAVID MICHAEL GROSS
10/08/2014 PRN239873
LAURA LEE GUTHINGER
03/20/2023 PRN336896
JOHN HEANER
10/17/2019 PRN341732
MALCOLM JOHN JEFFRIS
03/11/2025 PRN406729
JOHN JACOB KARL
01/23/2019 PRN183873
ALAN JAY KAUFMAN
03/20/2023 PRN87690
PETER KESTENBAUM
03/08/2024 PRN253954
COURTNEY KOBA
12/22/2023 PRN284662
ANTHONY JOHN KOBETS
03/20/2023 PRN206123
WILLIAM RYAN KRAMER
03/20/2023 PRN412000
ADAM RALPH LUIS
12/22/2023 PRN308570
JENNIFER JEAN MACKAY
03/20/2023 PRN213635
JACOB RYAN MARKHAM
03/11/2025 PRN360413
ANDREW JEROME MILLS
03/20/2023 PRN251026
PATRICK A. MILLS
03/20/2023 PRN355661
LYNN PATINO
06/24/2024 PRN183243
BRENT M. RAY
03/11/2025 PRN147056
JENNIFER A. RHOADES
03/11/2025 PRN269569
MAXWELL PAUL SAVAGE
03/11/2025 PRN446324
JASON LOUIS SCHEURLE
04/27/2023 PRN449994
CHRISTOPHER SIEGEL
09/21/2023 PRN464167
ADRIAN SMITH
11/07/2019 PRN143281
CALEB STACY
03/11/2025 PRN304723
JAMES BRYANT STEELE
05/21/2019 PRN170415
TAYLOR THOMAS
03/11/2025 PRN448311
CARRIE ELIZABETH TILL
03/11/2025 PRN503559
JACOB ANTHONY TIMMONS
03/11/2025 PRN341047
WENDY LEE VAN WIE
03/20/2023 PRN159734
BARRY LEE WHITTON
10/07/2015 PRN258073
BERRI MITCHELL WILLIS
06/18/2020 PRN355318

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
SAMUEL CARSON PRN335204

License/Disciplinary Action

Case Action Taken Date
RIRS-1362 Consent Order 10/05/2001

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
141278

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: 05/13/2025 04:27:14 PM