black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JARED DAVIS CARILLO

PRODUCER NON-RESIDENT

License Number:
PRN193138
Status:
Active
First Licensure:
08/18/2011
Cancel Date:
None

Mailing:
GLASTONBURY, CT 06033
Phone:
+1 (860) 430-3255
Fax:
+1 (860) 652-3236
Email:
licensing@smithbrothersusa.com

History
License Type Start Date End Date
PRODUCER NON-RESIDENT 08/18/2011

Agency
Name Issue Date License Number Expiration Date Cancel Date
CHARLES S CARILLO INS AGENCY INC
 08/24/2011 AGN193370 04/26/2017
SMITH BROTHERS INSURANCE LLC
 10/15/2024 AGN42811

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Name Issue Date License Number Expiration Date Cancel Date
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EMPLOYERS PREFERRED INSURANCE COMPANY
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FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
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GREAT AMERICAN INSURANCE COMPANY
 03/26/2024 PCF764
GREAT NORTHERN INSURANCE COMPANY
 07/09/2024 PCF455
THE HANOVER AMERICAN INSURANCE COMPANY
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THE HANOVER INSURANCE COMPANY
 03/28/2024 PCF712
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 04/25/2025 PCF325
HARLEYSVILLE INSURANCE COMPANY
 05/20/2024 PCF129870
HARLEYSVILLE PREFERRED INSURANCE COMPANY
 05/20/2024 PCF128998
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 05/20/2024 PCF908
ILLINOIS NATIONAL INSURANCE COMPANY
 07/02/2024 PCF53254
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 07/09/2024 PCF50104
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 06/18/2024 PCF82408
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 06/07/2024 PCF31382
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 03/28/2024 PCF505
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 04/11/2024 PCF698
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 09/16/2014 PCF73059
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 07/09/2024 PCF546
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 10/18/2024 PCF72859
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 06/18/2024 PCF82412
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 06/18/2024 PCF82421
PLATTE RIVER INSURANCE COMPANY
 09/05/2024 PCF61518
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 04/26/2024 PCF212805
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 04/16/2024 PCF562
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 07/22/2024 LHF136
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 09/20/2022 PCF189490
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 09/20/2022 PCF128467
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 09/20/2022 PCF136874
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 05/01/2024 PCF76283
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 03/26/2024 PCF146321
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WEST AMERICAN INSURANCE COMPANY
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Authority
Description Issue Date Termination Date Status
CASUALTY 08/18/2011 Active
HEALTH 03/15/2024 Active
LIFE 03/15/2024 Active
PERSONAL LINES 08/18/2011 Active
PROPERTY 08/18/2011 Active

Responsible For
Name License Number
SMITH BROTHERS INSURANCE LLC AGN42811

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
10031055

Other Addresses
Address Type
68 NATIONAL DR
GLASTONBURY, CT 06033-4352
 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 03:26:31 PM