DEPARTMENT OF INSURANCE
Affiliations
NameShort, Charles LDOIID317853NAIC NPN1577375
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth1/17/2007 10/31/2024
ActiveNon ResidentAgentLife1/17/2007 10/31/2024
InactiveNon ResidentAgentHealth Maintenance Organization2/10/19973/6/1998 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202410/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc.300694Agent - Health3/20/200712/31/2007
ActiveAetna Health Inc. (PA)660717Agent - Health12/31/2007 
ActiveAetna Health Insurance Company301583Agent - Health9/2/2014 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health3/20/2007 
ActiveAetna Life Insurance Company301140Agent - Life3/20/2007 
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health2/17/200510/31/2006
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life2/17/200510/31/2006
InactiveAmeritas Life Insurance Corporation300126Agent - Health4/1/200311/8/2004
InactiveAmeritas Life Insurance Corporation300126Agent - Life4/1/200311/8/2004
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/24/2023 
ActiveAnthem Life Insurance Company301209Agent - Health11/28/2010 
ActiveAnthem Life Insurance Company301209Agent - Life11/28/2010 
InactiveBankers Life Insurance Company301784Agent - Health10/6/20009/30/2004
InactiveBanner Life Insurance Company301696Agent - Life1/30/201412/5/2016
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health10/20/2022 
ActiveCareSource Kentucky Co.838179Agent - Health10/7/2019 
InactiveClarica Life Insurance Company - U.S.300207Agent - Health9/8/19933/31/1997
InactiveClarica Life Insurance Company - U.S.300207Agent - Life9/8/19933/31/1997
InactiveColumbian Life Insurance Company300810Agent - Life10/22/200110/28/2003
InactiveCompBenefits Dental, Inc.591692Agent - Health3/13/201512/8/2015
InactiveCompBenefits Insurance Company301864Agent - Health8/5/201111/23/2011
InactiveCompBenefits Insurance Company301864Agent - Life8/5/201111/23/2011
ActiveCompanion Life Insurance Company300191Agent - Health6/12/2019 
ActiveCompanion Life Insurance Company300191Agent - Life6/12/2019 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveConnecticut General Life Insurance Company301333Agent - Health7/24/20096/11/2014
InactiveConseco Insurance Company301202Agent - Health9/27/19943/6/1998
InactiveConseco Insurance Company301202Agent - Life9/27/19943/6/1998
InactiveConseco Medical Insurance Company300719Agent - Health1/23/19973/6/1998
InactiveConseco Medical Insurance Company300719Agent - Life1/23/19973/6/1998
InactiveContinental General Insurance Company300691Agent - Health11/24/19933/31/1997
InactiveContinental General Insurance Company300691Agent - Life11/24/19933/31/1997
ActiveCoventry Health and Life Insurance Company301771Agent - Health9/12/2014 
InactiveDental Concern Inc. (The)301641Agent - Health5/3/201812/10/2018
InactiveElixir Insurance Company696846Agent - Health10/31/201910/1/2020
ActiveFidelity Security Life Insurance Company300466Agent - Health6/3/2013 
ActiveFidelity Security Life Insurance Company300466Agent - Life6/3/2013 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health9/2/2014 
ActiveGolden Rule Insurance Company301943Agent - Health9/8/2010 
ActiveGolden Rule Insurance Company301943Agent - Life9/8/2010 
InactiveHomesteaders Life Company300836Agent - Life1/22/20012/13/2003
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health4/30/201812/10/2018
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health11/16/2018 
InactiveHumana Health Plan, Inc.300142Agent - Health4/30/20184/29/2019
ActiveHumana Insurance Company301104Agent - Health9/28/2023 
InactiveHumana Insurance Company301104Agent - Life4/30/201812/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health4/30/201812/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life4/30/201812/10/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health4/30/201812/10/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health4/30/20184/29/2019
InactiveHumanaDental Insurance Company301457Agent - Health5/2/20112/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life5/2/20112/23/2012
InactiveJohn Alden Life Insurance Company300573Agent - Health2/11/200210/31/2006
InactiveJohn Alden Life Insurance Company300573Agent - Life2/11/200210/31/2006
InactiveKanawha Insurance Company300127Agent - Health3/13/201510/22/2015
InactiveKanawha Insurance Company300127Agent - Life3/13/201510/22/2015
InactiveLifeUSA Insurance Company300386Agent - Health9/20/19943/4/1997
InactiveLifeUSA Insurance Company300386Agent - Life9/20/19943/4/1997
InactiveMadison National Life Insurance Company Inc.301458Agent - Health1/9/20083/11/2010
InactiveMadison National Life Insurance Company Inc.301458Agent - Life1/9/20083/11/2010
ActiveNational Guardian Life Insurance Company300596Agent - Health11/14/2022 
ActiveNationwide Life Insurance Company300495Agent - Health11/8/2022 
ActiveNationwide Life Insurance Company300495Agent - Life11/8/2022 
InactivePacifiCare Life and Health Insurance Company301304Agent - Health10/14/200911/4/2011
InactivePioneer Life Insurance Company300110Agent - Health9/1/19943/6/1998
InactivePioneer Life Insurance Company300110Agent - Life9/1/19943/6/1998
InactivePrincipal Life Insurance Company300129Agent - Health2/27/199710/31/2006
InactivePrincipal Life Insurance Company300129Agent - Life5/31/200110/31/2006
ActiveSilverScript Insurance Company663526Agent - Health10/19/2019 
InactiveSouthwestern Life Insurance Company301343Agent - Life8/26/19943/6/1998
InactiveUSG Annuity & Life Company300457Agent - Life9/20/19943/6/1998
InactiveUnion Bankers Insurance Company301769Agent - Health11/23/19933/31/1997
InactiveUnion Bankers Insurance Company301769Agent - Life11/23/19933/31/1997
InactiveUnited Presidential Life Insurance Company300422Agent - Life10/3/19943/31/1997
ActiveUnitedHealthcare Insurance Company300946Agent - Health11/11/2020 
ActiveUnitedHealthcare Insurance Company300946Agent - Life11/11/2020 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health10/20/202212/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health8/17/19943/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life8/17/19943/31/1997
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/29/2022 
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization2/10/199712/9/1997
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health11/11/2020 
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health Maintenance Organization8/21/19973/6/1998
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health10/20/2022 
InactiveWashington National Insurance Company300587Agent - Health4/21/19953/31/1997
InactiveWashington National Insurance Company300587Agent - Life4/21/19953/31/1997
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/18/201912/30/2021
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health8/2/2021 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health3/7/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life5/31/200110/31/2006
InactiveArison Insurance Services, Inc.401001Agent - Health5/21/200110/31/2006
ActiveBuckeye Financial Services Inc975598Agent - Health11/5/2017 
InactiveDental Choice Agency Inc.398085Agent - Health5/22/200911/8/2013
ActiveDesignated Agent Company Inc.681257Agent - Life6/27/2008 
ActiveDesignated Agent Company Inc.681257Agent - Health6/27/2008 
InactiveMedlink Inc400721Agent - Life9/9/200210/31/2006
InactiveMedlink Inc400721Agent - Health9/9/200210/31/2006

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