DEPARTMENT OF INSURANCE

Affiliations

Name	Moeller, Charlene A	DOIID	330614	NAIC NPN	2518514

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health Maintenance Organization	12/8/1998	3/1/2001
Inactive	Non Resident	Agent	Health	10/8/1998	6/30/2022
Inactive	Non Resident	Agent	Life	10/8/1998	6/30/2022
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	9/10/2012	8/30/2013
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	CompDent Corporation	301387	Agent - Health	9/9/2002	12/23/2004
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/10/2012	8/30/2013
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	3/31/2000	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	3/31/2000	9/8/2000
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/10/2012	8/30/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	12/8/1998	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	9/10/2012	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Life	9/10/2012	8/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/10/2012	8/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/10/2012	8/30/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/18/2001	2/23/2012
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/8/2000	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/8/2000	7/2/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Health	2/18/2002	5/9/2005
Inactive	John Alden Life Insurance Company	300573	Agent - Life	2/18/2002	5/9/2005
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/10/2012	8/30/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/10/2012	8/30/2013
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/29/2007	6/30/2022
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/29/2007	6/30/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/15/2008	4/16/2010
Inactive	Principal Life Insurance Company	300129	Agent - Health	12/27/2000	12/8/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	12/27/2000	12/8/2008
Inactive	Protective Life Insurance Company	300638	Agent - Health	6/2/2005	11/23/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	6/2/2005	11/23/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/14/2004	3/9/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/14/2004	3/9/2016
Inactive	United World Life Insurance Company	300532	Agent - Health	5/15/2008	4/16/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/15/2008	4/16/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/15/2008	4/16/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/2/2007	12/14/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/2/2007	12/14/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/2/2007	12/14/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/2/2007	12/14/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners Nl, Llc	762387	Agent - Life	9/22/2011	6/30/2022
Inactive	Assuredpartners Nl, Llc	762387	Agent - Health	9/22/2011	6/30/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013	6/30/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013	6/30/2022
Inactive	Neace & Associates Insurance Agency of OH, Inc.	521908	Agent - Life	1/19/2007	3/31/2013
Inactive	Neace & Associates Insurance Agency of OH, Inc.	521908	Agent - Health	1/19/2007	3/31/2013