DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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		3/31/2027
Active	Resident	Agent	Life	4/21/2013		3/31/2027
Active	Resident	Agent	Property	4/21/2013		3/31/2027
Active	Resident	Agent	Casualty	4/21/2013		3/31/2027
* 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
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