DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Boozer, Charles Augustus	DOIID	1302079	NAIC NPN	20556134

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/29/2023		10/31/2025
* 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	Arcadian Health Plan, Inc.	728196	Agent - Health	11/1/2023	3/21/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/10/2023	3/21/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/12/2024	3/21/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Health	12/3/2023	3/21/2024