DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Charbeneau, Cynthia	DOIID	1044207	NAIC NPN	4560886

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/17/2019	3/13/2024
Inactive	Non Resident	Agent	Property	6/17/2019	3/13/2024
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/5/2023	3/13/2024
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/5/2023	3/13/2024
Inactive	Essentia Insurance Company	300342	Agent - Casualty	7/7/2019	3/13/2024
Inactive	Essentia Insurance Company	300342	Agent - Property	7/7/2019	3/13/2024
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	4/7/2023	3/13/2024
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	4/7/2023	3/13/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hagerty Ins Agency LLC	541031	Agent - Casualty	7/11/2019	3/16/2023
Inactive	Hagerty Ins Agency LLC	541031	Agent - Property	7/11/2019	3/16/2023
Inactive	Specialty Program Group LLC	937234	Agent - Casualty	3/10/2023	3/13/2024
Inactive	Specialty Program Group LLC	937234	Agent - Property	3/10/2023	3/13/2024