black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

REZA D. KHAN

PRODUCER NON-RESIDENT

License Number:
PRN47216
Status:
First Licensure:
10/11/1996
Cancel Date:
None

Mailing:
NEW YORK, NY 10018
Phone:
+1 (646) 467-4266
Fax:
+1 (646) 467-4266
Email:
reza.khan@vault.insurance

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/02/2012
*** NOT ACTIVE *** 03/05/2009 10/01/2012
PRODUCER NON-RESIDENT 10/11/1996 03/04/2009

Agency

Name Issue Date License Number Expiration Date Cancel Date
BERKELY AGENCY LTD
10/11/1996 AGN34025 03/21/2005
BERKELYCARE LTD
11/05/1999 AGN65716 03/21/2005
COMBINATION SPECIALTY UNDERWRITERS, LLC
06/15/2022 AGN421100
RSG UNDERWRITING MANAGERS LLC
11/08/2013 AGN117866 10/11/2020

Employer

Name Issue Date License Number Expiration Date Cancel Date
ASPEN AMERICAN INSURANCE COMPANY
02/18/2016 PCF43292 06/19/2019
ILLINOIS NATIONAL INSURANCE COMPANY
08/07/2014 PCF53254
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
08/07/2014 PCF527
VAULT RECIPROCAL EXCHANGE
04/01/2022 IIF325911

Authority

Description Issue Date Termination Date Status
CASUALTY 10/02/2012 Active
PROPERTY 10/02/2012 Active
SURPLUS LINES 10/02/2012 Active
PROPERTY AND CASUALTY 10/11/1996 03/05/2009 Terminated

Responsible For

Name License Number
COMBINATION SPECIALTY UNDERWRITERS, LLC AGN421100

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
232691

Other Addresses

Address Type
NEW YORK, NY 10018
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: 05/16/2025 04:15:46 AM