DEPARTMENT OF INSURANCE

Affiliations

Name	Buckley, Charles Kelly	DOIID	328558	NAIC NPN	829541

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	7/1/2006
Pending	Resident	Agent	Health
Pending	Resident	Agent	Life
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/7/1994	7/1/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/7/1994	7/1/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	10/15/2001	7/1/2006
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	1/22/2002	9/19/2005
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	1/22/2002	9/19/2005
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Variable Life and Variable Annuities	1/22/2002	9/19/2005
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Health	8/14/2000	7/1/2006
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Life	8/14/2000	4/21/2006
Inactive	Assurity Life Insurance Company	301099	Agent - Health	2/6/2006	7/1/2006
Inactive	Assurity Life Insurance Company	301099	Agent - Life	2/6/2006	7/1/2006
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	2/11/2000	3/3/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	2/11/2000	3/3/2003
Inactive	C.M. Life Insurance Company	301335	Agent - Health	9/15/2003	7/1/2006
Inactive	C.M. Life Insurance Company	301335	Agent - Life	9/15/2003	7/1/2006
Inactive	C.M. Life Insurance Company	301335	Agent - Variable Life and Variable Annuities	9/15/2003	7/1/2006
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Health	8/19/2002	12/30/2005
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Life	8/19/2002	12/30/2005
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Variable Life and Variable Annuities	8/19/2002	12/30/2005
Inactive	Delaware Life Insurance Company	301256	Agent - Life	5/19/1998	7/1/2006
Inactive	Delaware Life Insurance Company	301256	Agent - Variable Life and Variable Annuities	5/31/2001	7/1/2006
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	5/18/2006	7/1/2006
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	7/13/2001	7/1/2006
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	7/13/2001	7/1/2006
Inactive	Everlake Life Insurance Company	300873	Agent - Life	7/1/1999	7/1/2006
Inactive	Everlake Life Insurance Company	300873	Agent - Variable Life and Variable Annuities	5/31/2001	7/1/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	3/22/1999	7/19/2004
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	9/5/1995	7/1/2006
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	6/25/2002	7/1/2006
Inactive	General American Life Insurance Company	300280	Agent - Health	4/19/2002	7/1/2006
Inactive	General American Life Insurance Company	300280	Agent - Life	4/19/2002	7/1/2006
Inactive	General American Life Insurance Company	300280	Agent - Variable Life and Variable Annuities	4/22/2002	7/1/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/18/2005	7/1/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/18/2005	7/1/2006
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	5/4/1998	7/1/2006
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	5/4/1998	7/1/2006
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Variable Life and Variable Annuities	5/31/2001	7/1/2006
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/20/2006	7/1/2006
Inactive	Humana Insurance Company	301104	Agent - Health	2/20/2006	7/1/2006
Inactive	Humana Insurance Company	301104	Agent - Life	2/20/2006	7/1/2006
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/20/2006	7/1/2006
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/20/2006	7/1/2006
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/20/2006	7/1/2006
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/20/2006	7/1/2006
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/4/2005	7/1/2006
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	10/4/2005	7/1/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	5/5/2000	7/1/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	5/5/2000	7/1/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Variable Life and Variable Annuities	7/20/2001	7/1/2006
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	10/18/2005	7/1/2006
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	10/18/2005	7/1/2006
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Variable Life and Variable Annuities	10/18/2005	7/1/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Health	2/7/2006	7/1/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Life	2/7/2006	7/1/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	7/30/2001	7/1/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	7/30/2001	7/1/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Variable Life and Variable Annuities	7/30/2001	7/1/2006
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	1/22/2002	7/1/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	7/30/2001	7/1/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	7/30/2001	7/1/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Variable Life and Variable Annuities	7/30/2001	7/1/2006
Inactive	Keyport Life Insurance Company	300319	Agent - Life	1/7/2002	1/6/2003
Inactive	Keyport Life Insurance Company	300319	Agent - Variable Life and Variable Annuities	1/7/2002	1/6/2003
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	3/8/1999	1/27/2005
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	3/8/1999	1/27/2005
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	3/31/2001	1/14/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/23/1991	7/1/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/23/1991	7/1/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	5/31/2001	7/1/2006
Inactive	Manufacturers Life Insurance Company of North America	301899	Agent - Life	4/10/2000	1/22/2002
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	9/15/2003	7/1/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	9/15/2003	7/1/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Variable Life and Variable Annuities	9/15/2003	7/1/2006
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Health	2/11/2000	3/3/2003
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	3/8/2004	7/1/2006
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Variable Life and Variable Annuities	3/8/2004	7/1/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/27/2005	7/1/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/27/2005	7/1/2006
Inactive	Nassau Life Insurance Company	301406	Agent - Life	7/28/2003	12/14/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Variable Life and Variable Annuities	7/28/2003	12/14/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	2/28/2003	7/1/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/28/2003	7/1/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	2/28/2003	7/1/2006
Inactive	Northern Life Insurance Company	300301	Agent - Health	3/25/2002	10/2/2002
Inactive	Northern Life Insurance Company	300301	Agent - Life	3/20/2002	10/2/2002
Inactive	Northern Life Insurance Company	300301	Agent - Variable Life and Variable Annuities	3/25/2002	10/2/2002
Inactive	PHL Variable Insurance Company	300525	Agent - Life	7/28/2003	12/14/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Variable Life and Variable Annuities	7/28/2003	12/14/2004
Inactive	Pacific Life Insurance Company	301848	Agent - Life	8/19/2002	7/1/2006
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	8/19/2002	7/1/2006
Inactive	Principal Life Insurance Company	300129	Agent - Health	12/6/1988	7/1/2006
Inactive	Principal Life Insurance Company	300129	Agent - Life	12/6/1988	7/1/2006
Inactive	Pruco Life Insurance Company	300954	Agent - Health	10/25/2001	7/1/2006
Inactive	Pruco Life Insurance Company	300954	Agent - Life	10/25/2001	7/1/2006
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	10/25/2001	7/1/2006
Inactive	Prudential Insurance Company of America	300784	Agent - Health	10/25/2001	7/1/2006
Inactive	Prudential Insurance Company of America	300784	Agent - Life	10/25/2001	7/1/2006
Inactive	Prudential Insurance Company of America	300784	Agent - Variable Life and Variable Annuities	10/25/2001	7/1/2006
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/2/2002	4/1/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/2/2002	4/10/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Variable Life and Variable Annuities	10/2/2002	4/1/2004
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	2/13/2006	7/1/2006
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	2/13/2006	7/1/2006
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	8/1/2001	7/1/2006
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Variable Life and Variable Annuities	8/1/2001	7/1/2006
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	8/1/2001	3/31/2003
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	9/24/1996	7/1/2006
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	9/24/1996	7/1/2006
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	5/31/2001	7/1/2006
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	9/24/1996	7/1/2006
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	9/24/1996	7/1/2006
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	5/31/2001	7/1/2006
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	1/18/2006	7/1/2006
Inactive	USG Annuity & Life Company	300457	Agent - Life	7/12/2002	1/1/2004
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/21/2006	7/1/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/21/2006	7/1/2006
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/21/2006	7/1/2006
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/21/2006	7/1/2006
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	1/1/2004	7/1/2006
Inactive	West Coast Life Insurance Company	301607	Agent - Health	9/22/2005	7/1/2006
Inactive	West Coast Life Insurance Company	301607	Agent - Life	9/22/2005	7/1/2006
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	8/27/2002	3/28/2003
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	8/27/2002	3/28/2003
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Variable Life and Variable Annuities	8/27/2002	3/28/2003
Inactive	Zurich American Life Insurance Company	300216	Agent - Variable Life and Variable Annuities	2/25/2003	7/1/2006
Inactive		300277	Agent - Life	11/15/2005	7/1/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Buckley Financial Advisory, Itd., LLC	505442	Agent - Life	4/14/2000	3/31/2006
Inactive	Buckley Financial Advisory, Itd., LLC	505442	Agent - Health	4/14/2000	3/31/2006
Inactive	LPL FINANCIAL LLC	399327	Agent - Life	5/21/1997	3/14/2003
Inactive	LPL FINANCIAL LLC	399327	Agent - Health	5/21/1997	3/14/2003
Inactive	Spectrum Financial Alliance Ltd LLC	514029	Agent - Life	8/24/2000	7/1/2006
Inactive	Spectrum Financial Alliance Ltd LLC	514029	Agent - Health	8/24/2000	7/1/2006
Inactive	Triad Insurance Inc	512953	Agent - Life	2/18/2003	5/4/2006
Inactive	Triad Insurance Inc	512953	Agent - Health	2/18/2003	5/4/2006
Inactive	Triad Insurance Inc	512953	Agent - Variable Life and Variable Annuities	2/18/2003	5/4/2006