DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sulak Sr., Charles Ray	DOIID	636215	NAIC NPN	98873

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/20/2006		10/31/2027
Active	Non Resident	Agent	Life	7/20/2006		10/31/2027
* 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	Accendo Insurance Company	300312	Agent - Life	12/2/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/2/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	12/2/2020	8/11/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/2/2020
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	1/19/2012	12/21/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Five Star Advantage Marketing Ltd	772516	Agent - Health	1/13/2012
Active	Five Star Advantage Marketing Ltd	772516	Agent - Life	1/13/2012
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/23/2018	12/21/2018
Denied	Health Plan Intermediaries Holdings	786463	Agent - Life