black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

THEA BRECK CHAMPLIN

PRODUCER RESIDENT

License Number:
PRR395434
Status:
First Licensure:
09/14/2021
Cancel Date:
None
Renewal Date:
10/31/2027

Continuing Education:
Required by 10/31/2027
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
BUXTON, ME 04093
Phone:
+1 (207) 229-0293
Email:
thea.champlin@american-national.com

History

License Type Start Date End Date
PRODUCER RESIDENT 09/14/2021 10/31/2027

Agency

Name Issue Date License Number Expiration Date Cancel Date
THE CHAMPLIN AGENCY
03/30/2023 AGR447729

Authority

Description Issue Date Termination Date Status
CASUALTY 09/14/2021 Active
HEALTH 01/26/2022 Active
LIFE 01/26/2022 Active
PROPERTY 09/14/2021 Active

Responsible For

Name License Number
THE CHAMPLIN AGENCY AGR447729

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20066514

Other Addresses

Address Type
15 BELVEDERE RD
DAMARISCOTTA, ME 04543-4644
Office

CE Courses

None.

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: 11/14/2025 03:20:50 AM