DEPARTMENT OF INSURANCE

Affiliations

Name	Carrillo, Enrique	DOIID	741100	NAIC NPN	3700414

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/27/2010	11/30/2024
Active	Non Resident	Agent	Health	10/27/2010	11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Health	6/21/2024
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	6/21/2024
Active	Combined Insurance Company of America	301472	Agent - Health	12/20/2016
Active	Combined Insurance Company of America	301472	Agent - Life	12/20/2016
Inactive	Continental American Insurance Company	301700	Agent - Health	10/27/2016	12/30/2020
Inactive	Continental American Insurance Company	301700	Agent - Life	10/27/2016	12/30/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/17/2012	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/17/2012	12/8/2017
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/8/2014	1/5/2017
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/8/2014	1/5/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/23/2020	8/17/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/23/2020	8/17/2023
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/24/2012	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/24/2012	12/18/2020
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/23/2020	8/17/2023
Active	Transamerica Life Insurance Company	300571	Agent - Health	8/8/2014
Active	Transamerica Life Insurance Company	300571	Agent - Life	8/8/2014
Active	Trustmark Insurance Company	300317	Agent - Health	10/16/2017
Active	Trustmark Insurance Company	300317	Agent - Life	10/16/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/23/2020	8/17/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/23/2020	8/17/2023
Inactive	Unum Insurance Company	301499	Agent - Health	10/23/2020	8/17/2023
Inactive	Unum Insurance Company	301499	Agent - Life	10/23/2020	8/17/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Life	6/8/2012	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Health	6/8/2012	1/7/2020