DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Campbell, Marcus	DOIID	886643	NAIC NPN	17682591

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	10/5/2015	9/1/2018
Inactive	Resident	Agent	Casualty	9/24/2015	9/1/2018
Inactive	Resident	Agent	Property	8/27/2015	9/1/2018
Inactive	Resident	Agent	Health	10/6/2015	9/1/2018
* 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 Modern Select Insurance Company	581481	Agent - Casualty	12/16/2016	9/1/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/16/2016	9/1/2018
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	10/9/2015	1/2/2018
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	10/9/2015	1/2/2018
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	10/9/2015	1/2/2018
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	10/9/2015	1/2/2018
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	10/9/2015	1/2/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/15/2015	1/2/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	10/9/2015	12/27/2017
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	10/9/2015	12/27/2017
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	10/9/2015	12/27/2017
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	10/9/2015	12/27/2017