DEPARTMENT OF INSURANCE

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.

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