black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SIMON AGENCY N Y INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN299024
Status:
First Licensure:
11/30/2017
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
900 STEWART AVE STE 230
GARDEN CITY, NY 11530-4829
Mailing:
900 STEWART AVE STE 230
GARDEN CITY, NY 11530-4829
Phone:
+1 (516) 593-2700
Fax:
+1 (516) 593-2555
Email:
license@simonagency.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 03/11/2025 04/01/2027
*** NOT ACTIVE *** 01/29/2021 03/10/2025
NON-RESIDENT PRODUCER AGENCY 11/30/2017 01/28/2021

Employer

Name Issue Date License Number Expiration Date Cancel Date
EMPLOYERS ASSURANCE COMPANY
05/08/2025 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
05/08/2025 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
05/08/2025 PCF285637
GREAT AMERICAN INSURANCE COMPANY
08/04/2020 PCF764 01/29/2021
MOUNT VERNON FIRE INSURANCE COMPANY
08/01/2018 PCF83792 01/29/2021
STATE NATIONAL INSURANCE COMPANY INC.
05/26/2020 PCF75933 01/29/2021
STILLWATER PROPERTY AND CASUALTY INSURANCE COMPANY
09/24/2020 PCF988 01/29/2021
TRAVELERS PERSONAL INSURANCE COMPANY
04/25/2025 PCF201268

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MAX ANDREW LEVY
03/11/2025 PRN509606

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MAX ANDREW LEVY PRN509606

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6905531

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: 05/19/2025 02:42:36 PM