DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Campbell, Michael Vane	DOIID	700768	NAIC NPN	13224214

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/2/2009	3/8/2017
Inactive	Non Resident	Agent	Property	3/2/2009	3/8/2017
* 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	Grange Indemnity Insurance Company	300793	Agent - Casualty	6/13/2013	3/8/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	6/13/2013	3/8/2017
Inactive	Grange Insurance Company	300234	Agent - Casualty	6/13/2013	3/8/2017
Inactive	Grange Insurance Company	300234	Agent - Property	6/13/2013	3/8/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	6/13/2013	3/8/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	6/13/2013	3/8/2017
Inactive	Great West Casualty Company	301015	Agent - Casualty	8/25/2011	4/7/2017
Inactive	Great West Casualty Company	301015	Agent - Property	8/25/2011	4/7/2017
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/2/2009	3/8/2017
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	4/2/2009	3/8/2017
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	6/13/2013	3/8/2017
Inactive	Trustgard Insurance Company	300104	Agent - Property	6/13/2013	3/8/2017
Inactive	Westfield Insurance Company	301950	Agent - Casualty	3/10/2016	3/8/2017
Inactive	Westfield Insurance Company	301950	Agent - Property	3/10/2016	3/8/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Heritage Insurance Service, Inc.	399131	Agent - Property	4/2/2009	3/8/2017
Inactive	Heritage Insurance Service, Inc.	399131	Agent - Casualty	4/2/2009	3/8/2017
Inactive	Heritage Insurance USA	704116	Agent - Property	7/20/2009	3/8/2017
Inactive	Heritage Insurance USA	704116	Agent - Casualty	7/20/2009	3/8/2017