DEPARTMENT OF INSURANCE

Affiliations

Name	Henry, Charles David	DOIID	333985	NAIC NPN	7182690

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	4/12/1995		1/31/2025
Active	Resident	Agent	Casualty	8/15/2000		1/31/2025
Active	Resident	Agent	Property	8/15/2000		1/31/2025
Active	Resident	Agent	Life	4/12/1995		1/31/2025
Inactive	Resident	Agent	Health Maintenance Organization	3/2/1998	3/1/2001
Inactive	Resident	Agent	General Lines	4/14/1994	8/15/2000
Active	Resident	Surplus Lines Broker	Not Applicable	7/8/2004		1/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2024	01/31/2025
Surplus Lines Broker	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	21st Century Centennial Insurance Company	301840	Agent - Casualty	2/10/2009	9/30/2011
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	2/10/2009	9/30/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	2/10/2009	9/30/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Property	2/10/2009	9/30/2011
Active	ACE American Insurance Company	300625	Agent - Casualty	11/1/2013
Active	ACE American Insurance Company	300625	Agent - Property	11/1/2013
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	10/24/2006
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	10/24/2006
Active	AIG Property Casualty Company	300621	Agent - Casualty	2/10/2009
Active	AIG Property Casualty Company	300621	Agent - Property	2/10/2009
Active	All America Insurance Company	300078	Agent - Casualty	10/14/2020
Active	All America Insurance Company	300078	Agent - Property	10/14/2020
Active	American Home Assurance Company	300246	Agent - Casualty	2/10/2009
Active	American Home Assurance Company	300246	Agent - Property	2/10/2009
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	1/17/2020	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	1/17/2020	12/13/2023
Inactive	American Select Insurance Company	301229	Agent - Casualty	8/15/2000	2/9/2004
Inactive	American Select Insurance Company	301229	Agent - General Lines	5/7/1999	8/15/2000
Inactive	American Select Insurance Company	301229	Agent - Property	8/15/2000	2/9/2004
Inactive	American Southern Insurance Company	301617	Agent - Casualty	6/14/2004	6/22/2005
Inactive	American Southern Insurance Company	301617	Agent - Property	6/14/2004	6/22/2005
Active	Anthem Life Insurance Company	301209	Agent - Health	12/19/2008
Active	Anthem Life Insurance Company	301209	Agent - Life	12/19/2008
Inactive	Assurance Company of America	300432	Agent - Casualty	9/23/2002	11/8/2007
Inactive	Assurance Company of America	300432	Agent - Property	9/23/2002	11/8/2007
Active	Auto-Owners Life Insurance Company	301368	Agent - Health	8/16/2017
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	8/16/2017
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	5/4/1994	3/31/1996
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	11/1/2013
Active	Bankers Standard Insurance Company	301620	Agent - Property	11/1/2013
Active	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	8/13/2014
Active	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	10/11/2007
Active	BusinessFirst Insurance Company	722488	Agent - Casualty	6/12/2023
Active	Central Mutual Insurance Company	300965	Agent - Casualty	10/14/2020
Active	Central Mutual Insurance Company	300965	Agent - Property	10/14/2020
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	3/12/2007
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	3/12/2007
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	3/12/2007
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	3/12/2007
Active	Cincinnati Insurance Company	301298	Agent - Casualty	3/12/2007
Active	Cincinnati Insurance Company	301298	Agent - Property	3/12/2007
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Health	3/22/2010
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	3/22/2010
Active	ClearPath Insurance Company	979815	Agent - Casualty	2/29/2024
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	9/23/2002	11/8/2007
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	9/23/2002	11/8/2007
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/25/2020	9/15/2022
Active	FCCI Insurance Company	557454	Agent - Casualty	11/7/2016
Active	FCCI Insurance Company	557454	Agent - Property	11/7/2016
Inactive	Farmington Casualty Company	301137	Agent - General Lines	5/4/1994	3/31/1996
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	9/23/2002	11/8/2007
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	9/23/2002	11/8/2007
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	8/25/2004	10/23/2007
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	8/25/2004	10/23/2007
Active	First Benefits Insurance Mutual, Inc.	1090183	Agent - Casualty	9/1/2021
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	9/23/2002	11/8/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	9/23/2002	11/8/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/10/2005	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/10/2005	11/10/2008
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	2/8/2007
Active	Grange Indemnity Insurance Company	300793	Agent - Property	2/8/2007
Active	Grange Insurance Company	300234	Agent - Casualty	2/8/2007
Active	Grange Insurance Company	300234	Agent - Property	2/8/2007
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/7/2008
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/7/2008
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	1/5/2007	6/26/2019
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	1/5/2007	6/26/2019
Inactive	Great American Insurance Company	301586	Agent - Casualty	1/5/2007	6/26/2019
Inactive	Great American Insurance Company	301586	Agent - Property	1/5/2007	6/26/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	1/5/2007	6/26/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Property	1/5/2007	6/26/2019
Inactive	Greenwood Insurance Company	301069	Agent - Casualty	2/10/2009	9/30/2011
Inactive	Greenwood Insurance Company	301069	Agent - Property	2/10/2009	9/30/2011
Active	Hartford Casualty Insurance Company	301332	Agent - Casualty	6/25/2009
Active	Hartford Casualty Insurance Company	301332	Agent - Property	6/25/2009
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	3/23/2016
Active	Hartford Fire Insurance Company	300628	Agent - Property	3/23/2016
Active	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	1/19/2009
Active	Hartford Insurance Company of the Midwest	301918	Agent - Property	1/19/2009
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	9/29/2020
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	9/29/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/25/2020	6/14/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/2/1998	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	2/25/2020	6/14/2022
Inactive	Humana Insurance Company	301104	Agent - Life	12/16/2008	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/25/2020	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/25/2020	12/15/2020
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	11/1/2013
Active	Indemnity Insurance Company of North America	301760	Agent - Property	11/1/2013
Inactive	International Fidelity Insurance Company	301131	Agent - Casualty	8/15/2000	1/19/2010
Inactive	International Fidelity Insurance Company	301131	Agent - General Lines	8/25/1995	8/15/2000
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/16/2008	9/8/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/16/2008	9/8/2010
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	3/3/2003	12/6/2007
Inactive	Lincoln General Insurance Company	301580	Agent - Property	3/3/2003	12/6/2007
Inactive	Maryland Casualty Company	301719	Agent - Casualty	9/23/2002	11/8/2007
Inactive	Maryland Casualty Company	301719	Agent - Property	9/23/2002	11/8/2007
Active	Meridian Security Insurance Company	300423	Agent - Casualty	5/25/2021
Active	Meridian Security Insurance Company	300423	Agent - Property	5/25/2021
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Casualty	12/7/2012	11/10/2016
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Property	12/7/2012	11/10/2016
Active	Milbank Insurance Company	925185	Agent - Casualty	11/7/2021
Active	Milbank Insurance Company	925185	Agent - Property	11/7/2021
Active	Monroe Guaranty Insurance Company	300771	Agent - Casualty	11/7/2016
Active	Monroe Guaranty Insurance Company	300771	Agent - Property	11/7/2016
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	4/30/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	4/30/2019
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	2/28/2013
Active	Motorists Mutual Insurance Company	300963	Agent - Property	2/28/2013
Active	National Trust Insurance Company	300367	Agent - Casualty	11/7/2016
Active	National Trust Insurance Company	300367	Agent - Property	11/7/2016
Active	NorthStone Insurance Company	818905	Agent - Casualty	8/13/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	9/23/2002	11/8/2007
Inactive	Northern Insurance Company of New York	301317	Agent - Property	9/23/2002	11/8/2007
Inactive	Northland Insurance Company	300201	Agent - Casualty	8/23/2002	9/4/2003
Inactive	Northland Insurance Company	300201	Agent - Property	8/23/2002	9/4/2003
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	9/20/2022
Active	Ohio Casualty Insurance Company	301492	Agent - Property	9/20/2022
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	5/5/1995	11/22/1999
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	2/1/2007	10/19/2013
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	11/1/2013
Active	Pacific Employers Insurance Company	301753	Agent - Property	11/1/2013
Active	PinnaclePoint Insurance Company	819085	Agent - Casualty	8/13/2014
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	8/25/2020
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	8/25/2020
Inactive	Reliance Insurance Company	300785	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - General Lines	10/27/1997	8/15/2000
Inactive	Reliance Insurance Company	300785	Agent - Property	8/15/2000	6/5/2001
Inactive	Reliance National Indemnity Company	301939	Agent - General Lines	10/27/1997	8/15/2000
Inactive	Reliance Surety Company	301224	Agent - General Lines	10/27/1997	8/15/2000
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	5/21/2021
Active	SAFECO Insurance Company of America	300159	Agent - Property	5/21/2021
Active	Selective Insurance Company of America	500018	Agent - Casualty	4/11/2022
Active	Selective Insurance Company of America	500018	Agent - Property	4/11/2022
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	4/11/2022
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	4/11/2022
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	4/11/2022
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	4/11/2022
Active	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/3/2009
Active	Sentinel Insurance Company, Limited	501696	Agent - Property	6/3/2009
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	5/4/1994	3/31/1996
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	8/10/2021
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	8/10/2021
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	11/12/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	11/12/2020
Active	SummitPoint Insurance Company	819084	Agent - Casualty	8/13/2014
Inactive	TransGuard Insurance Company of America Inc.	301477	Agent - Casualty	1/16/2002	12/11/2006
Inactive	TransGuard Insurance Company of America Inc.	301477	Agent - Property	1/16/2002	12/11/2006
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - General Lines	5/4/1994	3/31/1996
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - General Lines	5/4/1994	3/31/1996
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	4/14/1994	3/31/1996
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	8/15/2000	9/12/2007
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - General Lines	7/18/2000	8/15/2000
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	8/15/2000	9/12/2007
Inactive	Travelers Commercial Insurance Company	301506	Agent - General Lines	5/4/1994	3/31/1996
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - General Lines	5/4/1994	3/31/1996
Active	Trumbull Insurance Company	300242	Agent - Casualty	8/29/2023
Active	Trumbull Insurance Company	300242	Agent - Property	8/29/2023
Active	Trustgard Insurance Company	300104	Agent - Casualty	2/8/2007
Active	Trustgard Insurance Company	300104	Agent - Property	2/8/2007
Active	Twin City Fire Insurance Company	300721	Agent - Casualty	10/20/2009
Active	Twin City Fire Insurance Company	300721	Agent - Property	10/20/2009
Inactive	Union Bankers Insurance Company	301769	Agent - Health	4/12/1995	6/12/1998
Inactive	Union Bankers Insurance Company	301769	Agent - Life	4/12/1995	6/12/1998
Inactive	United Pacific Insurance Company	300538	Agent - General Lines	10/27/1997	8/15/2000
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/5/2018	3/30/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/5/2018	3/30/2020
Active	West Bend Insurance Company	672974	Agent - Casualty	10/15/2018
Active	West Bend Insurance Company	672974	Agent - Property	10/15/2018
Inactive	Western Surety Company	300283	Agent - Casualty	1/14/2003	10/9/2006
Active	Westfield Insurance Company	301950	Agent - Casualty	6/11/2021
Active	Westfield Insurance Company	301950	Agent - Property	6/11/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Acrisure LLC	696181	Agent - Life	10/4/2019
Active	Acrisure LLC	696181	Agent - Health	10/4/2019
Active	Acrisure LLC	696181	Agent - Property	10/4/2019
Active	Acrisure LLC	696181	Agent - Casualty	10/4/2019
Active	Acrisure LLC	696181	Surplus Lines Broker - Not Applicable	10/4/2019
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
Active	Griffith-Catlett-Hampton, Inc.	612298	Agent - Life	12/30/2008
Active	Griffith-Catlett-Hampton, Inc.	612298	Agent - Health	12/30/2008
Active	Griffith-Catlett-Hampton, Inc.	612298	Agent - Property	9/12/2006
Active	Griffith-Catlett-Hampton, Inc.	612298	Agent - Casualty	9/12/2006
Inactive	Morgan Trevathan and Gunn Inc.	398365	Agent - Property	1/20/2004	9/29/2006
Inactive	Morgan Trevathan and Gunn Inc.	398365	Agent - Casualty	1/20/2004	9/29/2006