DEPARTMENT OF INSURANCE
Affiliations
NameMoulton, Charles DouglasDOIID337139NAIC NPN1496178
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth1/26/19965/1/2016 
InactiveResidentAgentHealth Maintenance Organization5/2/20003/1/2001 
InactiveResidentAgentCasualty10/21/20025/1/2016 
InactiveResidentAgentProperty10/21/20025/1/2016 
InactiveResidentAgentLife4/12/19995/1/2016 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAIG Assurance Company300897Agent - Casualty5/27/200510/2/2010
InactiveAIG Assurance Company300897Agent - Property5/27/200510/2/2010
InactiveAegis Security Insurance Company300492Agent - Casualty11/9/20125/1/2016
InactiveAegis Security Insurance Company300492Agent - Property11/9/20125/1/2016
InactiveAetna Health Inc.300694Agent - Health3/1/200112/31/2007
InactiveAetna Health Inc.300694Agent - Health Maintenance Organization5/2/20003/1/2001
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20075/1/2016
InactiveAetna Life Insurance Company301140Agent - Health12/21/19985/1/2016
InactiveAetna Life Insurance Company301140Agent - Life5/2/20005/1/2016
InactiveAllianz Life Insurance Company of North America301791Agent - Health2/13/200810/15/2008
InactiveAllianz Life Insurance Company of North America301791Agent - Life2/13/200810/15/2008
InactiveAmerican Alternative Insurance Corporation301697Agent - Casualty6/1/20049/20/2005
InactiveAmerican Alternative Insurance Corporation301697Agent - Property6/1/20049/20/2005
InactiveAmerican Bankers Insurance Company of Florida300360Agent - Casualty2/20/20047/22/2009
InactiveAmerican Bankers Insurance Company of Florida300360Agent - Property2/20/20047/22/2009
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life10/3/20056/4/2010
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health4/12/19993/8/2016
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life4/12/19993/8/2016
InactiveAmerican General Life Insurance Company301585Agent - Health12/31/20125/1/2016
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/20125/1/2016
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health5/1/200912/31/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life5/1/200912/31/2012
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty8/10/20055/1/2016
InactiveAmerican Modern Home Insurance Company300791Agent - Property8/10/20055/1/2016
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty10/22/20155/1/2016
InactiveAmerican Modern Select Insurance Company581481Agent - Property10/22/20155/1/2016
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty10/22/20155/1/2016
InactiveAmerican Southern Home Insurance Company626276Agent - Property10/22/20155/1/2016
InactiveAmerican Zurich Insurance Company300592Agent - Casualty12/16/200510/29/2010
InactiveAmerican Zurich Insurance Company300592Agent - Property12/16/200510/29/2010
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health10/14/20095/1/2016
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life10/14/20095/1/2016
InactiveAssurance Company of America300432Agent - Casualty12/16/200510/29/2010
InactiveAssurance Company of America300432Agent - Property12/16/200510/29/2010
InactiveAssurity Life Insurance Company301099Agent - Health5/19/20145/1/2016
InactiveAssurity Life Insurance Company301099Agent - Life5/19/20145/1/2016
InactiveAthene Annuity and Life Company301893Agent - Life10/13/20094/25/2011
InactiveBanner Life Insurance Company301696Agent - Life8/11/20038/9/2008
InactiveBedivere Insurance Company300710Agent - Casualty6/8/20091/5/2010
InactiveBedivere Insurance Company300710Agent - Property6/8/20091/5/2010
InactiveBristol West Insurance Company301655Agent - Casualty4/17/20075/1/2016
InactiveBristol West Insurance Company301655Agent - Property4/17/20075/1/2016
InactiveCelina Mutual Insurance Company (The)301908Agent - Casualty10/22/20073/6/2012
InactiveCelina Mutual Insurance Company (The)301908Agent - Property10/22/20073/6/2012
InactiveCincinnati Life Insurance Company (The)300601Agent - Health5/2/20145/1/2016
InactiveCincinnati Life Insurance Company (The)300601Agent - Life5/2/20145/1/2016
InactiveCitizens Security Life Insurance Company301257Agent - Health1/9/20079/6/2007
InactiveCitizens Security Life Insurance Company301257Agent - Life5/20/20088/20/2009
InactiveCombined Insurance Company of America301472Agent - Health1/26/19967/26/1996
InactiveCompBenefits Dental, Inc.591692Agent - Health8/24/20097/14/2014
InactiveCompBenefits Insurance Company301864Agent - Health8/24/20097/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life8/24/20097/2/2013
InactiveConseco Health Insurance Company301725Agent - Health4/21/20048/7/2006
InactiveConseco Health Insurance Company301725Agent - Life4/21/20048/7/2006
InactiveConseco Insurance Company301202Agent - Health11/30/200410/1/2010
InactiveConseco Insurance Company301202Agent - Life11/30/200410/1/2010
InactiveContinental American Insurance Company301700Agent - Health12/20/20115/2/2016
InactiveContinental American Insurance Company301700Agent - Life12/20/20115/2/2016
InactiveDairyland Insurance Company301370Agent - Casualty12/14/20045/6/2016
InactiveDelaware Life Insurance Company301256Agent - Life2/12/200711/3/2009
InactiveDental Concern Inc. (The)301641Agent - Health10/3/20077/14/2014
InactiveEmployers' Fire Insurance Company (The)301255Agent - Casualty6/8/20091/5/2010
InactiveEmployers' Fire Insurance Company (The)301255Agent - Property6/8/20091/5/2010
InactiveEncova Life Insurance Company301818Agent - Life11/25/20023/17/2010
InactiveFarmers Insurance Exchange300336Agent - Casualty4/27/20058/22/2012
InactiveFarmers Insurance Exchange300336Agent - Property4/27/20058/22/2012
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life12/27/20115/1/2016
InactiveFirst Colony Life Insurance Company301179Agent - Health8/13/200312/20/2006
InactiveFirst Colony Life Insurance Company301179Agent - Life8/13/200312/20/2006
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health9/23/200312/26/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life9/23/200312/26/2008
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty12/9/20025/1/2016
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property12/9/20025/1/2016
InactiveGeneral American Life Insurance Company300280Agent - Health11/2/20054/5/2007
InactiveGeneral American Life Insurance Company300280Agent - Life11/2/20054/5/2007
InactiveGerber Life Insurance Company300529Agent - Health10/6/200912/15/2011
InactiveGerber Life Insurance Company300529Agent - Life10/6/200912/15/2011
InactiveGolden Rule Insurance Company301943Agent - Health10/14/20051/28/2008
InactiveGolden Rule Insurance Company301943Agent - Life10/14/20051/28/2008
InactiveGranite State Insurance Company300818Agent - Casualty5/27/200510/2/2010
InactiveGranite State Insurance Company300818Agent - Property5/27/200510/2/2010
InactiveGuarantee Trust Life Insurance Company301043Agent - Health11/27/200212/9/2004
InactiveGuarantee Trust Life Insurance Company301043Agent - Life11/27/200212/9/2004
InactiveHartford Accident and Indemnity Company301917Agent - Casualty2/3/200311/5/2008
InactiveHartford Accident and Indemnity Company301917Agent - Property2/3/200311/5/2008
InactiveHartford Casualty Insurance Company301332Agent - Casualty2/3/200311/5/2008
InactiveHartford Casualty Insurance Company301332Agent - Property2/3/200311/5/2008
InactiveHartford Fire Insurance Company300628Agent - Casualty2/3/200311/5/2008
InactiveHartford Fire Insurance Company300628Agent - Property2/3/200311/5/2008
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty2/3/200311/5/2008
InactiveHartford Insurance Company of the Midwest301918Agent - Property2/3/200311/5/2008
InactiveHartford Life and Accident Insurance Company300878Agent - Health12/14/200111/16/2011
InactiveHartford Life and Accident Insurance Company300878Agent - Life12/14/200111/16/2011
InactiveHartford Underwriters Insurance Company301064Agent - Casualty2/3/200311/5/2008
InactiveHartford Underwriters Insurance Company301064Agent - Property2/3/200311/5/2008
InactiveHumana Health Plan, Inc.300142Agent - Health12/2/20027/14/2014
InactiveHumana Insurance Company301104Agent - Health11/25/20027/14/2014
InactiveHumana Insurance Company301104Agent - Life11/25/20027/14/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/3/20077/14/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/3/20077/14/2014
InactiveHumanaDental Insurance Company301457Agent - Health4/24/201212/19/2012
InactiveHumanaDental Insurance Company301457Agent - Life4/24/201212/19/2012
InactiveIllinois National Insurance Company301367Agent - Casualty1/16/200710/2/2010
InactiveIllinois National Insurance Company301367Agent - Property1/16/200710/2/2010
InactiveJefferson National Life Insurance Company300258Agent - Life8/9/20046/8/2006
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health1/24/20064/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life1/24/20064/2/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health9/4/200812/29/2010
InactiveJohn Alden Life Insurance Company300573Agent - Life9/4/200812/29/2010
InactiveKanawha Insurance Company300127Agent - Health9/9/20137/14/2014
InactiveKanawha Insurance Company300127Agent - Life9/9/20137/14/2014
InactiveKentucky Health Cooperative, Inc.798780Agent - Health12/13/201310/29/2015
InactiveLamorak Insurance Company301231Agent - Casualty6/8/200912/29/2010
InactiveLamorak Insurance Company301231Agent - Property6/8/200912/29/2010
InactiveLifeSecure Insurance Company301629Agent - Health11/8/200812/29/2012
InactiveLifeSecure Insurance Company301629Agent - Life11/8/200811/27/2012
InactiveLincoln National Life Insurance Company (The)301382Agent - Health9/23/20038/22/2008
InactiveLincoln National Life Insurance Company (The)301382Agent - Life9/23/20038/22/2008
InactiveMadison National Life Insurance Company Inc.301458Agent - Health10/15/20085/1/2016
InactiveMadison National Life Insurance Company Inc.301458Agent - Life10/15/20085/1/2016
InactiveMaryland Casualty Company301719Agent - Casualty12/16/200510/29/2010
InactiveMaryland Casualty Company301719Agent - Property12/16/200510/29/2010
InactiveMetLife Investors USA Insurance Company300845Agent - Health11/2/20054/5/2007
InactiveMetLife Investors USA Insurance Company300845Agent - Life11/2/20054/5/2007
InactiveMutual of Omaha Insurance Company301012Agent - Health4/30/20126/24/2013
InactiveNorthern Insurance Company of New York301317Agent - Casualty12/16/200510/29/2010
InactiveNorthern Insurance Company of New York301317Agent - Property12/16/200510/29/2010
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health9/5/20023/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life9/5/20023/31/2003
InactiveOmaha Insurance Company751908Agent - Health4/30/20126/24/2013
InactiveOmni Indemnity Company301456Agent - Casualty12/24/20092/18/2010
InactiveOmni Indemnity Company301456Agent - Property12/24/20092/18/2010
InactivePenn Mutual Life Insurance Company301394Agent - Health9/4/20014/4/2005
InactivePenn Mutual Life Insurance Company301394Agent - Life9/4/20014/4/2005
InactivePlymouth Rock Assurance Preferred Corporation301834Agent - Casualty9/11/20076/20/2011
InactivePlymouth Rock Assurance Preferred Corporation301834Agent - Property9/11/20076/20/2011
InactivePruco Life Insurance Company300954Agent - Health11/15/200712/22/2008
InactivePruco Life Insurance Company300954Agent - Life11/15/200712/22/2008
InactiveSAFECO Insurance Company of America300159Agent - Casualty1/24/20135/1/2016
InactiveSAFECO Insurance Company of America300159Agent - Property1/24/20135/1/2016
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty1/24/20135/1/2016
InactiveSAFECO Insurance Company of Illinois301350Agent - Property1/24/20135/1/2016
InactiveSagicor Life Insurance Company300459Agent - Life12/10/200911/8/2010
InactiveSentinel Insurance Company, Limited501696Agent - Casualty1/17/200511/5/2008
InactiveSentinel Insurance Company, Limited501696Agent - Property1/17/200511/5/2008
InactiveStandard Life and Accident Insurance Company301534Agent - Health8/9/20075/1/2016
InactiveStandard Life and Accident Insurance Company301534Agent - Life8/9/20075/1/2016
InactiveStandard Security Life Insurance Company of NY301487Agent - Health4/11/20081/20/2010
InactiveStandard Security Life Insurance Company of NY301487Agent - Life4/11/20081/20/2010
InactiveStar Casualty Insurance Company681448Agent - Casualty6/14/201012/30/2013
InactiveTalcott Resolution Life Insurance Company301759Agent - Health12/14/20018/10/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Life12/14/20018/10/2009
InactiveTime Insurance Company300683Agent - Health4/28/199911/18/2002
InactiveTime Insurance Company300683Agent - Life4/28/199911/18/2002
InactiveTitan Indemnity Company300556Agent - Casualty7/22/20136/20/2016
InactiveTitan Indemnity Company300556Agent - Property7/22/20136/20/2016
InactiveTransamerica Life Insurance Company300571Agent - Health2/18/20102/12/2014
InactiveTransamerica Life Insurance Company300571Agent - Life2/18/20102/12/2014
InactiveTrinity Life Insurance Company552459Agent - Life3/17/20033/29/2005
InactiveTruck Insurance Exchange300335Agent - Casualty6/1/20078/22/2012
InactiveTruck Insurance Exchange300335Agent - Property6/1/20078/22/2012
InactiveTwin City Fire Insurance Company300721Agent - Casualty2/3/200311/5/2008
InactiveTwin City Fire Insurance Company300721Agent - Property2/3/200311/5/2008
InactiveUnited Investors Life Insurance Company301873Agent - Life8/25/200412/21/2006
InactiveUnited World Life Insurance Company300532Agent - Health8/6/200811/1/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health4/30/20126/24/2013
InactiveUnited of Omaha Life Insurance Company300156Agent - Life4/30/20126/24/2013
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/3/20133/7/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life8/27/200711/12/2012
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/27/200711/12/2012
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health10/3/20133/7/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/10/20153/7/2016
InactiveVictoria Fire & Casualty Company300313Agent - Casualty7/22/20136/20/2016
InactiveVictoria Fire & Casualty Company300313Agent - Property7/22/20136/20/2016
InactiveWashington National Insurance Company300587Agent - Health10/1/201012/22/2010
InactiveWashington National Insurance Company300587Agent - Life10/1/201012/22/2010
InactiveWest Coast Life Insurance Company301607Agent - Life8/15/200312/27/2005
InactiveWestern National Life Insurance Company300461Agent - Life8/23/200211/30/2007
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Health10/26/200910/29/2010
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life10/26/200910/29/2010
InactiveWilton Reassurance Life Company of New York300163Agent - Life8/9/20046/8/2006
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDental Choice Agency Inc.398085Agent - Health12/10/20011/9/2014
InactiveDesignated Agent Company Inc.681257Agent - Health12/2/20135/1/2016
InactiveDesignated Agent Company Inc.681257Agent - Life12/2/20135/1/2016
InactiveMedlink Inc400721Agent - Health12/8/20095/1/2016
InactiveMedlink Inc400721Agent - Life12/8/20095/1/2016
InactiveMoulton Insurance, Inc.559534Agent - Health10/25/20025/1/2016
InactiveMoulton Insurance, Inc.559534Agent - Life10/25/20025/1/2016
InactiveMoulton Insurance, Inc.559534Agent - Casualty2/21/20035/1/2016
InactiveMoulton Insurance, Inc.559534Agent - Property2/21/20035/1/2016
InactivePlanchoice Inc.400482Agent - Health3/5/20035/1/2016
InactivePlanchoice Inc.400482Agent - Life3/5/20035/1/2016
InactiveWorldwide Insurance Network LLC517734Agent - Life10/22/20145/1/2016

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