DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Campbell, David	DOIID	738663	NAIC NPN	8844623

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	10/1/2010		9/30/2025
Active	Non Resident	Agent	Health	10/1/2010		9/30/2025
Active	Non Resident	Agent	Life	10/1/2010		9/30/2025
* 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
Agent	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	New York Life Insurance Company	300431	Agent - Health	10/5/2011	6/21/2023
Inactive	New York Life Insurance Company	300431	Agent - Life	10/5/2011	6/21/2023
Inactive	Response Insurance Company	300240	Agent - Personal Lines	8/22/2013	1/2/2014
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Personal Lines	8/22/2013	10/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Health	1/9/2014	6/21/2023
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/9/2014	6/21/2023
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	1/15/2019	6/21/2023
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	1/15/2019	6/21/2023
Inactive	Seabury & Smith Inc	394854	Agent - Health	9/10/2012	4/8/2014
Inactive	Seabury & Smith Inc	394854	Agent - Life	9/10/2012	4/8/2014