DEPARTMENT OF INSURANCE
Affiliations
NameCampbell, Mary RoseDOIID325444NAIC NPN7170871
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife6/21/20002/29/2008 
InactiveResidentAgentLimited Line Credit8/7/20002/29/2008 
InactiveResidentAgentVariable Life and Variable Annuities12/19/20022/29/2008 
InactiveResidentAgentCredit Life & Health12/11/19988/7/2000 
InactiveResidentAgentHealth6/21/20002/29/2008 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican United Life Insurance Company300498Agent - Credit Life & Health12/11/19983/31/1999
InactiveAmerican United Life Insurance Company300498Agent - Health6/21/20002/5/2001
InactiveEmpower Annuity Insurance Company of America300259Agent - Life2/21/200310/16/2003
InactiveEverlake Life Insurance Company300873Agent - Life3/1/20052/29/2008
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities3/1/20052/29/2008
InactiveInvestors Heritage Life Insurance Company300363Agent - Credit Life & Health8/3/19998/7/2000
InactiveInvestors Heritage Life Insurance Company300363Agent - Limited Line Credit8/7/20002/29/2008
InactiveJackson National Life Insurance Company300486Agent - Life12/1/20052/29/2008
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities12/1/20052/29/2008
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life6/23/200312/16/2004
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life7/24/20062/29/2008
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities7/24/20062/29/2008
InactivePacific Life Insurance Company301848Agent - Life5/4/20072/29/2008
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities5/4/20072/29/2008
InactiveTalcott Resolution Life Insurance Company301759Agent - Life4/15/20022/29/2008
DeniedTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities  
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life4/15/20022/29/2008
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities12/19/20022/29/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Life12/16/20042/29/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities12/16/20042/29/2008
InactiveWestern National Life Insurance Company300461Agent - Life10/2/20002/29/2008
InactiveWestern-Southern Life Assurance Company301590Agent - Health6/21/20002/29/2008
InactiveWestern-Southern Life Assurance Company301590Agent - Life6/21/20002/29/2008
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFifth Third Insurance Agency Inc399341Agent - Life10/19/20002/29/2008
InactiveFifth Third Insurance Agency Inc399341Agent - Health2/28/20072/29/2008
InactiveFifth Third Insurance Agency Inc399341Agent - Variable Life and Variable Annuities4/2/20042/29/2008

© Commonwealth of Kentucky. All rights reserved.