black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SIMON CAMAJ

PRODUCER NON-RESIDENT

License Number:
PRN169826
Status:
First Licensure:
09/15/2009
Cancel Date:
None

Mailing:
NAPERVILLE, IL 60564
Phone:
+1 (312) 428-1402
Fax:
+1 (312) 627-6172
Email:
simon.camaj@mercer.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/15/2009

Agency

Name Issue Date License Number Expiration Date Cancel Date
MERCER HEALTH & BENEFITS LLC
08/02/2019 AGN113379

Employer

Name Issue Date License Number Expiration Date Cancel Date
4 EVER LIFE INSURANCE COMPANY
08/23/2022 LHF469
AETNA HEALTH INC
02/15/2010 HMD45749 02/19/2019
AETNA LIFE INSURANCE COMPANY
02/15/2010 LHF621 02/19/2019
AMERICAN HERITAGE LIFE INSURANCE COMPANY
06/27/2022 LHF594
AMERICAN STRATEGIC INSURANCE CORP
01/11/2023 PCF258492
AMH HEALTH PLANS OF MAINE, INC.
09/18/2024 LHD353013
AMH HEALTH, LLC
09/18/2024 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
09/18/2024 LHD70566
ANTHEM INSURANCE COMPANIES INC
09/18/2024 LHF125537
ANTHEM LIFE INSURANCE COMPANY
09/18/2024 LHF70467 04/11/2025
BCS INSURANCE COMPANY
08/23/2022 PCF928
BEAZLEY INSURANCE COMPANY INC.
06/15/2023 PCF1001
CIGNA HEALTH AND LIFE INSURANCE COMPANY
11/07/2023 LHF860
CONTINENTAL AMERICAN INSURANCE COMPANY
03/09/2023 LHF80843
EMPIRE HEALTHCHOICE HMO, INC.
09/18/2024 HMF285382
FIDELITY SECURITY LIFE INSURANCE COMPANY
12/22/2023 LHF972
FIRST LIBERTY INSURANCE CORPORATION
07/22/2022 PCF31779
GLOBE LIFE AND ACCIDENT INSURANCE COMPANY
06/23/2023 LHF854
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
10/08/2019 LHF193
INDEPENDENCE AMERICAN INSURANCE COMPANY
08/11/2023 PCF86149
LIBERTY INSURANCE CORPORATION
07/22/2022 PCF999
LIBERTY MUTUAL FIRE INSURANCE COMPANY
07/22/2022 PCF330
LIBERTY MUTUAL INSURANCE COMPANY
07/22/2022 PCF331
LIBERTY MUTUAL PERSONAL INSURANCE COMPANY
07/22/2022 PCF301005
LM GENERAL INSURANCE COMPANY
07/22/2022 PCF996
LM INSURANCE CORPORATION
07/22/2022 PCF31778
MINNESOTA LIFE INSURANCE COMPANY
09/20/2019 LHF216
NATIONWIDE LIFE INSURANCE COMPANY
11/01/2024 LHF29
PROGRESSIVE NORTHERN INSURANCE COMPANY
09/21/2022 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
09/21/2022 PCF27738
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
08/10/2023 LHF250
PRUDENTIAL INSURANCE COMPANY OF AMERICA
08/03/2022 LHF252
RELIANCE STANDARD LIFE INSURANCE COMPANY
09/15/2019 LHF254
RIVERSTONE INTERNATIONAL INSURANCE, INC.
08/03/2022 PCF60 10/30/2023
SECURIAN LIFE INSURANCE COMPANY
09/20/2019 LHF120264
STARMOUNT LIFE INSURANCE COMPANY
08/10/2023 LHD131525
STATE NATIONAL INSURANCE COMPANY INC.
03/21/2023 PCF75933
UNITEDHEALTHCARE INSURANCE COMPANY
09/19/2019 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
11/01/2021 HMF393375
UNUM INSURANCE COMPANY
08/10/2023 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
08/10/2023 LHD145

Authority

Description Issue Date Termination Date Status
CASUALTY 08/02/2019 Active
HEALTH 09/15/2009 Active
LIFE 09/15/2009 Active
PROPERTY 08/02/2019 Active

Responsible For

Name License Number
MERCER HEALTH & BENEFITS ADMINISTRATION LLC AGN189659
MERCER HEALTH & BENEFITS LLC AGN113379
MERCER US LLC AGN7986
MERCER US LLC CFN71028

License/Disciplinary Action

None.

ADJUSTER NON-RESIDENT

License Number:
ADN62198
First Licensure:
05/03/1999
Cancel Date:
04/01/2000
Renewal Date:
04/01/2000

Mailing:
NAPERVILLE, IL 60564
Phone:
+1 (312) 428-1402
Fax:
+1 (312) 627-6172
Email:
simon.camaj@mercer.com

History

License Type Start Date End Date
ADJUSTER NON-RESIDENT 05/03/1999 03/31/2000

Agency

Name Issue Date License Number Expiration Date Cancel Date
CHUBB SERVICES CORPORATION
05/03/1999 AFN39439 06/14/1999

Authority

Description Issue Date Termination Date Status Additional Information
LIMITED TO HOME STATE 05/03/1999 04/01/2000 Terminated
Designated State:
Illinois
Authority:
CERT MI

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
989821

Other Addresses

Address Type
155 N WACKER DR
CHICAGO, IL 60606-1787
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: 05/18/2025 01:27:42 PM