DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Campillo, Samuel	DOIID	1246847	NAIC NPN	17709277

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/12/2024		7/31/2025
Active	Non Resident	Agent	Health	4/12/2024		7/31/2025
Active	Non Resident	Agent	Property	12/14/2022		7/31/2025
Active	Non Resident	Agent	Casualty	12/14/2022		7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arch Indemnity Insurance Company	301459	Agent - Casualty	6/11/2024
Active	Arch Indemnity Insurance Company	301459	Agent - Health	6/11/2024
Active	Arch Indemnity Insurance Company	301459	Agent - Property	6/11/2024
Active	Arch Insurance Company	300688	Agent - Casualty	6/11/2024
Active	Arch Insurance Company	300688	Agent - Health	6/11/2024
Active	Arch Insurance Company	300688	Agent - Property	6/11/2024
Active	CorePointe Insurance Company	300406	Agent - Casualty	4/9/2024
Active	CorePointe Insurance Company	300406	Agent - Property	4/9/2024
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	12/19/2022
Active	Hanover Insurance Company (The)	300508	Agent - Property	12/19/2022
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	4/9/2024
Active	Milford Casualty Insurance Company	301460	Agent - Property	4/9/2024
Active	Southern Insurance Company	301630	Agent - Casualty	4/9/2024
Active	Southern Insurance Company	301630	Agent - Property	4/9/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Specialty Program Group LLC	937234	Agent - Casualty	1/6/2023	1/4/2024
Inactive	Specialty Program Group LLC	937234	Agent - Property	1/6/2023	1/4/2024