black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SAMUEL CARSON

PRODUCER NON-RESIDENT

License Number:
PRN335204
Status:
First Licensure:
07/30/2019
Cancel Date:
None

Mailing:
CHICAGO, IL 60606
Phone:
+1 (248) 702-1024
Fax:
+1 (630) 795-0296
Email:
licensing@burns-wilcox.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/30/2019

Agency

Name Issue Date License Number Expiration Date Cancel Date
BURNS & WILCOX INS SERVICES INC
02/25/2021 AGN188167
BURNS & WILCOX LTD
07/30/2019 AGN81523

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
08/11/2020 PCF640
AIG PROPERTY CASUALTY COMPANY
04/19/2020 PCF393
ARCH INDEMNITY INSURANCE COMPANY
11/02/2021 PCF674
ARCH INSURANCE COMPANY
04/20/2020 PCF62719
ARGONAUT INSURANCE COMPANY
05/06/2020 PCF384
ARGONAUT-MIDWEST INSURANCE COMPANY
05/06/2020 PCF172122 05/06/2020
ASCOT INSURANCE COMPANY
04/16/2025 PCF58646
ATAIN INSURANCE COMPANY
08/03/2020 PCF161358
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
05/01/2020 PCF659 07/22/2021
BANKERS STANDARD INSURANCE COMPANY
08/11/2020 PCF152165
BEAZLEY INSURANCE COMPANY INC.
01/05/2021 PCF1001
BERKLEY CASUALTY COMPANY
01/12/2023 PCF209213
BERKLEY REGIONAL INSURANCE COMPANY
06/09/2023 PCF48727
CANAL INSURANCE COMPANY
01/17/2023 PCF397
CAPITOL INDEMNITY CORPORATION
11/04/2019 PCF162568 06/05/2024
CHUBB INDEMNITY INSURANCE COMPANY
04/15/2020 PCF591
CHUBB NATIONAL INSURANCE COMPANY
04/15/2020 PCF80404
COLONY SPECIALTY INSURANCE COMPANY
05/06/2020 PCF171994
COMMERCE AND INDUSTRY INSURANCE COMPANY
04/19/2020 PCF413
CONTRACTORS BONDING AND INSURANCE COMPANY
09/12/2023 PCF1000
EXECUTIVE RISK INDEMNITY INC.
04/15/2020 PCF42522
FARMINGTON CASUALTY COMPANY
05/01/2020 PCF995
FEDERAL INSURANCE COMPANY
04/15/2020 PCF439
GREAT AMERICAN INSURANCE COMPANY
09/14/2022 PCF764
GREAT NORTHERN INSURANCE COMPANY
04/15/2020 PCF455
HDI GLOBAL INSURANCE COMPANY
01/02/2024 PCF167923
HUDSON INSURANCE COMPANY
12/02/2020 PCF165252
MOUNT VERNON FIRE INSURANCE COMPANY
08/05/2020 PCF83792
PACIFIC INDEMNITY COMPANY
04/15/2020 PCF547
RLI INSURANCE COMPANY
08/19/2019 PCF695
SENECA INSURANCE COMPANY INC
10/26/2021 PCF803
THE STANDARD FIRE INSURANCE COMPANY
05/01/2020 PCF584
TRAVELERS CASUALTY AND SURETY COMPANY
05/01/2020 PCF348
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
05/01/2020 PCF974
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
05/01/2020 PCF56556 07/22/2021
TRAVELERS PERSONAL INSURANCE COMPANY
05/01/2020 PCF201268 07/22/2021
VIGILANT INSURANCE COMPANY
04/15/2020 PCF613

Authority

Description Issue Date Termination Date Status
CASUALTY 07/30/2019 Active
HEALTH 07/30/2019 Active
PROPERTY 07/30/2019 Active
SURPLUS LINES 03/25/2020 Active

Responsible For

Name License Number
BURNS & WILCOX INS SERVICES INC AGN188167
BURNS & WILCOX LTD AGN81523

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16865710

Other Addresses

Address Type
CHICAGO, IL 60606
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: 05/13/2025 01:30:43 PM