Search → DORETTE BANYOG SAMPSEL
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
DORETTE BANYOG SAMPSEL
PRODUCER NON-RESIDENT
License Number:
PRN361982
Status:
First Licensure:
09/22/2020
Cancel Date:
None
Mailing:
GROVE CITY, OH 43123
Phone:
+1 (330) 491-3110
Fax:
+1 (234) 231-1780
Email:
dorette.s@cfinspet.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 09/22/2020 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| PTZ INS AGENCY LTD |
12/31/2022 | AGN161448 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| ANTHEM HEALTH PLANS OF MAINE INC. |
09/22/2020 | LHD70566 | 05/08/2023 | |
| ANTHEM LIFE INSURANCE COMPANY |
09/22/2020 | LHF70467 | 12/13/2020 | |
| INDEPENDENCE AMERICAN INSURANCE COMPANY |
09/11/2023 | PCF86149 | ||
| UNITED STATES FIRE INSURANCE COMPANY |
01/10/2023 | PCF101256 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| CASUALTY | 12/31/2022 | Active | |
| HEALTH | 09/22/2020 | Active | |
| LIFE | 09/22/2020 | Active | |
| PROPERTY | 12/31/2022 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
18528528
| Address | Type |
|---|---|
| GROVE CITY, OH 43123 |
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: 05/22/2025 03:17:14 PM
