DEPARTMENT OF INSURANCE

Affiliations

Name	Champlin, Myria Vick	DOIID	389303	NAIC NPN	7208604

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	3/17/2022	7/31/2027
Active	Resident	Agent	Casualty	3/17/2022	7/31/2027
* 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
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	4/26/2017	7/31/2021
Inactive	Aegis Security Insurance Company	300492	Agent - Property	4/26/2017	7/31/2021
Inactive	Allied Insurance Company of America	793586	Agent - Casualty	2/11/2020	7/31/2021
Inactive	Allied Insurance Company of America	793586	Agent - Property	2/11/2020	7/31/2021
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	4/3/2014	7/31/2021
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	4/3/2014	7/31/2021
Inactive	Nationwide General Insurance Company	300603	Agent - Property	4/3/2014	7/31/2021
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	4/3/2014	7/31/2021
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	4/3/2014	7/31/2021
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	4/3/2014	7/31/2021
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	4/3/2014	7/31/2021
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	4/3/2014	7/31/2021
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	4/3/2014	7/31/2021
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	4/3/2014	7/31/2021
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	4/3/2014	7/31/2021
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/28/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Property	6/28/2024
Active	United Financial Casualty Company	301886	Agent - Casualty	6/28/2024
Active	United Financial Casualty Company	301886	Agent - Property	6/28/2024
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	4/3/2014	1/16/2018
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/30/2013	7/31/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Blackburn Insurance Group Inc	749040	Agent - Casualty	2/19/2026
Active	Blackburn Insurance Group Inc	749040	Agent - Property	2/19/2026