DEPARTMENT OF INSURANCE

Affiliations

Name	Campbell, Samuel Todd	DOIID	380147	NAIC NPN	7204644

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		11/30/2025
Active	Resident	Agent	Life	10/19/1987		11/30/2025
Active	Resident	Agent	Health	10/19/1987		11/30/2025
Active	Resident	Agent	Property	8/15/2000		11/30/2025
Inactive	Resident	Agent	General Lines	10/19/1987	8/15/2000
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	1/5/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/5/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	1/16/2017	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	1/16/2017	11/14/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/19/1987	3/31/1998
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	12/20/2024
Active	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	11/18/1998	8/15/2000
Active	Dairyland Insurance Company	301370	Agent - Property	8/15/2000
Active	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	10/19/1987	8/15/2000
Active	FB Insurance Company (The)	301763	Agent - Property	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/8/2004	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/8/2004	12/20/2023
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	10/19/1987	8/15/2000
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	10/19/1987
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	10/19/1987
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	6/23/2017

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 - Life	12/11/2013	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	2/13/2025
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	8/15/1988	8/15/2000
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/15/1988
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/15/1988
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000