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	Health	10/27/2010	11/30/2026
Active	Non Resident	Agent	Life	10/27/2010	11/30/2026
* 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	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