DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Damler, Charles J	DOIID	323645	NAIC NPN	1470087

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health Maintenance Organization	10/26/1998	3/1/2001
Inactive	Non Resident	Agent	Health	10/26/1998	8/19/2012
Inactive	Non Resident	Agent	Life	10/26/1998	8/19/2012
* 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	American General Life Insurance Company of Delaware	301057	Agent - Health	2/17/2005	2/26/2007
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/17/2005	2/26/2007
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/28/2009	7/6/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	7/28/2009	7/6/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/28/2009	7/6/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	7/6/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	7/6/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/26/1998	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	10/26/1998	7/6/2012
Inactive	Humana Insurance Company	301104	Agent - Life	10/26/1998	7/6/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/1/2011	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/1/2011	2/22/2012
Inactive	Time Insurance Company	300683	Agent - Health	4/5/2006	12/19/2006
Inactive	Time Insurance Company	300683	Agent - Life	4/5/2006	12/19/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Merchants Ins Services Inc	572790	Agent - Life	6/29/2009	8/19/2012
Inactive	First Merchants Ins Services Inc	572790	Agent - Health	6/29/2009	8/19/2012