DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nelson, Charles Spencer	DOIID	302130	NAIC NPN	362155

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/1/1999	2/28/2011
Inactive	Non Resident	Agent	Health	12/1/1999	2/28/2011
Inactive	Non Resident	Agent	Health Maintenance Organization	11/3/1994	3/1/2001
* 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	Aetna Health Inc.	300694	Agent - Health	2/27/2002	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	2/28/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/27/2002	2/28/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/16/2000	2/28/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/16/2000	2/28/2011
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/1/2001	11/17/2004
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	11/5/1999	3/1/2001
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/25/2008	2/28/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/25/2008	2/28/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/25/2008	2/28/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	2/28/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	2/28/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	11/3/1994	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	1/24/2004	2/28/2011
Inactive	Humana Insurance Company	301104	Agent - Life	1/24/2004	2/28/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/1/1999	2/28/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/1/1999	2/28/2011
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/1/2001	2/28/2011
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	8/6/1999	3/1/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health Maintenance Organization	10/16/1997	3/1/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/1/2001	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/24/2008	2/28/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/24/2008	2/28/2011