DEPARTMENT OF INSURANCE

Affiliations

Name	Campbell, Brenda J	DOIID	309004	NAIC NPN	952360

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	1/17/1997	6/30/2004
Inactive	Resident	Agent	Health Maintenance Organization	1/8/1998	3/1/2001
Inactive	Resident	Agent	Life	9/29/2000	6/30/2004
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	12/12/2001	6/30/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/12/2001	6/30/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/10/2002	6/30/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/10/2002	6/30/2004
Inactive	CompDent Corporation	301387	Agent - Health	5/20/2002	6/30/2004
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/14/2002	8/1/2003
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	1/8/1998	7/1/1998
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	8/1/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	5/21/1999	3/1/2001
Inactive	Humana Insurance Company	300118	Agent - Health	1/17/1997	7/1/1998
Inactive	Humana Insurance Company	301104	Agent - Health	5/21/1999	8/1/2003
Inactive	Humana Insurance Company	301104	Agent - Life	10/9/2000	8/1/2003
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/18/2001	8/1/2003
Inactive	Oxford Life Insurance Company	301079	Agent - Health	3/20/2000	4/1/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Health		10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	9/29/2000	10/23/2002
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	12/4/2000	6/30/2004
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	12/4/2000	6/30/2004
Inactive	Time Insurance Company	300683	Agent - Health	1/25/2001	6/30/2004
Inactive	Time Insurance Company	300683	Agent - Life	1/25/2001	6/30/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/10/2002	6/30/2004
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/10/2002	6/30/2004
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/17/2004	6/30/2004