DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mangum, Charles G	DOIID	1202466	NAIC NPN	11587433

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/2/2022		12/31/2025
Active	Non Resident	Agent	Casualty	5/2/2022		12/31/2025
* 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	10/15/2025	12/31/2025

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	7/6/2023	12/27/2024
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	7/6/2023	12/27/2024
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/2/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	5/2/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Insurancehub Leavitt Agency, Inc	612823	Agent - Casualty	5/2/2022
Active	Insurancehub Leavitt Agency, Inc	612823	Agent - Property	5/2/2022