DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ritz, Charles Lennox	DOIID	323760	NAIC NPN	3584615

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/11/2016	9/30/2017
Inactive	Non Resident	Agent	Life	1/11/2016	9/30/2017
Inactive	Resident	Agent	Health Maintenance Organization	10/13/1995	12/1/2000
* 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	Advantage Care, Inc.	300998	Agent - Health Maintenance Organization	10/13/1995	9/25/1996
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/11/2016	9/30/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/11/2016	9/30/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/11/2016	9/30/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/11/2016	9/30/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/11/2016	9/30/2017
Inactive	Humana Insurance Company	301104	Agent - Health	3/11/2016	9/30/2017
Inactive	Humana Insurance Company	301104	Agent - Life	3/11/2016	9/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/11/2016	9/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/11/2016	9/30/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/11/2016	9/30/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	1/30/2017	9/30/2017
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/28/2011	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/28/2011	2/22/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/11/2016	9/30/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/11/2016	9/30/2017
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	10/14/1996	12/1/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	R Rowe Insurance Agency	398992	Agent - Health Maintenance Organization	12/31/1999	12/1/2000
Inactive	USI Midwest LLC	517736	Agent - Health	10/4/2011	10/1/2015
Inactive	USI Midwest LLC	517736	Agent - Life	10/4/2011	10/1/2015