DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Campbell, Jeremy W	DOIID	744969	NAIC NPN	10739666

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	12/22/2010	11/30/2014
Inactive	Non Resident	Agent	Casualty	12/22/2010	11/30/2014
Inactive	Non Resident	Agent	Life	12/22/2010	11/30/2014
Inactive	Non Resident	Agent	Health	12/22/2010	11/30/2014
* 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	American Family Home Insurance Company	301817	Agent - Casualty	10/18/2013	11/18/2013
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/18/2013	11/18/2013
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	3/21/2011	9/7/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	3/21/2011	9/7/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	2/1/2011	10/24/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	2/1/2011	10/24/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/18/2011	12/28/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/18/2011	12/28/2013
Inactive	Owners Insurance Company	300796	Agent - Casualty	3/21/2011	9/7/2012
Inactive	Owners Insurance Company	300796	Agent - Property	3/21/2011	9/7/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	2/10/2011	11/15/2013
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	2/10/2011	11/15/2013