DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Adams, Charles William	DOIID	1060446	NAIC NPN	19255787

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	10/14/2019		5/31/2024
* 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	03/15/2024	05/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	9/18/2023
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	11/18/2019
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/18/2023
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	9/18/2023
Pending Replacement	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/7/2023
Pending Replacement	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/7/2023
Pending Replacement	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/7/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/17/2023	11/6/2023
Pending Replacement	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/7/2023
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/18/2019
Inactive	Humana Insurance Company	301104	Agent - Health	1/17/2023	7/11/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/13/2023	7/11/2023
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	9/18/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/17/2023	11/6/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/11/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/14/2019	5/28/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/17/2023	11/6/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/1/2022	8/6/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/6/2019	12/23/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	10/24/2022	5/15/2024