DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Charles	DOIID	1260069	NAIC NPN	19396256

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/7/2023		8/31/2026
Active	Non Resident	Agent	Life	3/7/2023		8/31/2026
* 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	06/15/2024	08/31/2024	07/01/2024	07/01/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	7/11/2024
Active	All Savers Insurance Company	301940	Agent - Life	7/11/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/11/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	7/11/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/11/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/11/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Paychex Insurance Agency Inc	509469	Agent - Life	7/11/2024
Active	Paychex Insurance Agency Inc	509469	Agent - Health	7/11/2024