DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lively, Charles Lewis	DOIID	326369	NAIC NPN	1487732

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/5/1994	7/31/2005
Inactive	Resident	Agent	Health	5/5/1994	7/31/2005
* 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 Life Insurance Company	301140	Agent - Health	8/6/1997	7/31/2005
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/6/1997	7/31/2005
Inactive	Celtic Insurance Company	300877	Agent - Health	7/28/1995	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	7/28/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/8/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/8/1995	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Health	2/11/1998	11/8/2000
Inactive	John Alden Life Insurance Company	300573	Agent - Life	2/11/1998	11/8/2000
Inactive	Metropolitan Insurance and Annuity Company	301239	Agent - Health	12/4/1998	12/23/2002
Inactive	Metropolitan Insurance and Annuity Company	301239	Agent - Life	12/4/1998	12/23/2002
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/5/1994	12/23/2002
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/5/1994	12/23/2002
Inactive	Texas Life Insurance Company	300345	Agent - Life	7/24/1997	10/5/1998
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/24/1997	9/27/2003
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/24/1997	9/27/2003
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	12/22/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	12/22/1995	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	6/10/1996	2/10/2004
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	6/10/1996	2/10/2004