DEPARTMENT OF INSURANCE

Affiliations

Name	Campbell, Samuel Todd	DOIID	380147	NAIC NPN	7204644

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		11/30/2025
Active	Resident	Agent	Life	10/19/1987		11/30/2025
Active	Resident	Agent	Health	10/19/1987		11/30/2025
Active	Resident	Agent	Property	8/15/2000		11/30/2025
Inactive	Resident	Agent	General Lines	10/19/1987	8/15/2000
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	1/5/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/5/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	1/16/2017	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	1/16/2017	11/14/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/19/1987	3/31/1998
Active	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008
Active	Bristol West Insurance Company	301655	Agent - Property	2/11/2008
Active	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	11/18/1998	8/15/2000
Active	Dairyland Insurance Company	301370	Agent - Property	8/15/2000
Active	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	10/19/1987	8/15/2000
Active	FB Insurance Company (The)	301763	Agent - Property	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/8/2004	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/8/2004	12/20/2023
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	10/19/1987	8/15/2000
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	10/19/1987
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	10/19/1987
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	6/23/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	8/15/1988	8/15/2000
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/15/1988
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/15/1988
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000