black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SAYATA US INSURANCE SERVICES, INC.

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN350730
Status:
First Licensure:
03/11/2020
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
275 WARE ST
MANSFIELD, MA 02048-2920
Mailing:
68 HARRISON AVE STE 605 PMB 88572
BOSTON, MA 02111-1929
Phone:
+1 (650) 564-4345
Fax:
+1 (650) 564-4345
Email:
avishay@sayatalabs.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 03/11/2020 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ARCH INSURANCE COMPANY
04/06/2022 PCF62719
AXIS INSURANCE COMPANY
01/18/2022 PCF134278
BERKSHIRE HATHAWAY DIRECT INSURANCE COMPANY
01/23/2024 PCF261380
EMPLOYERS ASSURANCE COMPANY
01/12/2024 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
01/12/2024 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
01/12/2024 PCF285637
GREAT AMERICAN ALLIANCE INSURANCE COMPANY
05/04/2023 PCF46804 09/21/2023
THE HANOVER INSURANCE COMPANY
09/14/2023 PCF712
NATIONAL LIABILITY & FIRE INSURANCE COMPANY
01/23/2024 PCF50199
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
09/04/2024 PCF974
WELLFLEET INSURANCE COMPANY
01/24/2024 PCF295569
WELLFLEET NEW YORK INSURANCE COMPANY
01/24/2024 PCF324

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
BENJAMIN JAY GOLDFIEN
03/11/2020 PRN212225

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
BENJAMIN JAY GOLDFIEN PRN212225

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19284808

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: 05/15/2025 02:45:48 AM