black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SAMUEL E. KAUFMAN

PRODUCER NON-RESIDENT

License Number:
PRN402220
Status:
First Licensure:
11/02/2021
Cancel Date:
None

Mailing:
NEW YORK, NY 10003
Phone:
+1 (312) 288-7920
Fax:
+1 (615) 866-4184
Email:
ned.kaufman@wtwco.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/02/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
WILLIS TOWERS WATSON MIDWEST INC
11/10/2021 AGN36667

Employer

None.

Authority

Description Issue Date Termination Date Status
CASUALTY 11/02/2021 Active
PROPERTY 11/02/2021 Active
SURPLUS LINES 12/08/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18962624

Other Addresses

Address Type
200 LIBERTY ST
NEW YORK, NY 10281-1015
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: 04/13/2026 04:00:50 AM