DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Micah Campbell Insurance Services Llc DBA : Bourbon County Farm Bureau Insurance	DOIID	808467	NAIC NPN	16943369

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	4/21/2013		3/31/2025
Active	Resident	Agent	Life	4/21/2013		3/31/2025
Active	Resident	Agent	Casualty	4/21/2013		3/31/2025
Active	Resident	Agent	Property	4/21/2013		3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	4/26/2013
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	4/26/2013
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	4/26/2013
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	4/26/2013
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	4/26/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Campbell, Micah Lee	636202	Agent - Casualty	4/21/2013
Active	Campbell, Micah Lee	636202	Agent - Health	4/21/2013
Active	Campbell, Micah Lee	636202	Agent - Life	4/21/2013
Active	Campbell, Micah Lee	636202	Agent - Property	4/21/2013