Search → THEA BRECK CHAMPLIN
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:
10/31/2025
Continuing Education:
Required by 10/31/2025
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
8
Mailing:
BUXTON, ME 04093
Phone:
+1 (207) 229-0293
Email:
thea.champlin@american-national.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER RESIDENT | 09/14/2021 | 10/31/2025 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| THE CHAMPLIN AGENCY |
03/30/2023 | AGR447729 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY |
12/01/2022 | PCF234561 | 04/09/2025 | |
| AMERICAN NATIONAL INSURANCE COMPANY |
03/01/2022 | LHF11 | ||
| AMERICAN NATIONAL LIFE INSURANCE COMPANY OF NEW YORK |
06/16/2022 | LHF164 | ||
| BANNER LIFE INSURANCE COMPANY |
04/01/2023 | LHF50047 | ||
| BRISTOL WEST INSURANCE COMPANY |
06/22/2022 | PCF78370 | ||
| COMMERCE INSURANCE COMPANY (THE) |
10/01/2024 | PCF53427 | ||
| FARM FAMILY CASUALTY INSURANCE COMPANY |
03/01/2022 | PCF438 | ||
| FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN |
06/22/2022 | PCF445 | ||
| LINCOLN NATIONAL LIFE INSURANCE COMPANY-THE |
04/06/2023 | LHF619 | ||
| PROGRESSIVE NORTHERN INSURANCE COMPANY |
09/04/2024 | PCF51006 | ||
| PROGRESSIVE NORTHWESTERN INSURANCE COMPANY |
09/04/2024 | PCF27738 | ||
| PRUCO LIFE INSURANCE COMPANY |
10/07/2024 | LHF768 | ||
| WESTERN SURETY COMPANY |
05/25/2023 | PCF96 |
| 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 |
| Name | License Number |
|---|---|
| THE CHAMPLIN AGENCY | AGR447729 |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
20066514
| Address | Type |
|---|---|
| 434 MAIN ST # 2 DAMARISCOTTA, ME 04543-4677 |
Office |
| Date | Description | Course Number | Content Areas |
|---|---|---|---|
| 08/05/2024 | LONG TERM CARE: PROGRAMS, POLICIES AND PARTNERSHIPS | ME15068 |
8
credits in Long Term Care
Total:
8
|
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: 05/21/2025 08:42:40 PM
