DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brockman, Charles Leon	DOIID	304469	NAIC NPN	7157629

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	1/30/1984	8/15/2000
Inactive	Resident	Agent	Health	2/10/1984	7/11/1999
Inactive	Resident	Agent	Casualty	8/15/2000	9/30/2004
Inactive	Resident	Agent	Property	8/15/2000	9/30/2004
Inactive	Resident	Agent	Life	2/10/1984	7/11/1999
* 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	Infinity Standard Insurance Company	301643	Agent - General Lines	6/25/1991	12/27/1999
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	2/10/1984	7/11/1999
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	2/10/1984	7/11/1999
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	3/11/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	1/30/1984	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	3/11/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Norman Hatter Insurance Agency Inc.	399501	Agent - Property	8/15/2000	3/11/2004
Inactive	Norman Hatter Insurance Agency Inc.	399501	Agent - Casualty	8/15/2000	3/11/2004