DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Campos, Jean	DOIID	734721	NAIC NPN	10976543

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/7/2011		1/31/2027
Active	Non Resident	Agent	Personal Lines	9/28/2012		1/31/2027
Active	Non Resident	Agent	Health	8/17/2010		1/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2024	01/31/2025	11/13/2024	11/13/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Strategic Insurance Corp	883540	Agent - Personal Lines	6/2/2022
Active	Bristol West Insurance Company	301655	Agent - Personal Lines	12/7/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/29/2011	7/12/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/29/2011	7/12/2012
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	6/14/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/8/2010	7/12/2012
Inactive	Humana Insurance Company	301104	Agent - Health	11/10/2010	7/12/2012
Inactive	Humana Insurance Company	301104	Agent - Life	3/19/2012	7/12/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/8/2010	7/12/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/16/2011	7/12/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/16/2011	7/12/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/29/2011	7/12/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Personal Lines	6/9/2023	3/29/2024
Active	Spinnaker Insurance Company	300099	Agent - Personal Lines	4/26/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	7/7/2011	7/12/2012
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	5/30/2012	7/12/2012
Active	North American Advantage Insurance Services, LLC	1057060	Agent - Personal Lines	2/13/2023