black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

THE CHAMPLIN AGENCY

RESIDENT PRODUCER AGENCY

License Number:
AGR447729
Status:
First Licensure:
03/30/2023
Cancel Date:
None
Renewal Date:
12/01/2026

Street Location:
457 SIMPSON RD
BUXTON, ME 04093-6206
Mailing:
PO BOX 280
DAMARISCOTTA, ME 04543-0280
Phone:
+1 (207) 229-0293
Email:
thea.champlin@american-national.com

History

License Type Start Date End Date
RESIDENT PRODUCER AGENCY 03/30/2023 12/01/2026

Employer

Name Issue Date License Number Expiration Date Cancel Date
COMMERCE INSURANCE COMPANY (THE)
10/01/2024 PCF53427

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
THEA BRECK CHAMPLIN
03/30/2023 PRR395434

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
THEA BRECK CHAMPLIN PRR395434

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20666100

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: 05/14/2025 01:11:27 AM