DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Campbell, Andrea L	DOIID	1009874	NAIC NPN	17543918

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/28/2022	1/31/2025
Inactive	Non Resident	Agent	Life	12/28/2022	1/31/2025
Active	Non Resident	Staff Adjuster	Property & Casualty	9/19/2025		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
Staff Adjuster	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/9/2023	1/31/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/9/2023	1/31/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/9/2023	1/31/2025
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/5/2019	10/1/2019
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/3/2023	7/27/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	1/9/2023	1/31/2025
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	2/7/2019	11/10/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/3/2023	7/27/2023
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/3/2023	7/27/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	2/27/2019	11/10/2020