DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shambaugh, Charles L	DOIID	338447	NAIC NPN	240195

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	11/30/2009
Inactive	Non Resident	Agent	Property	8/15/2000	11/30/2009
Inactive	Non Resident	Agent	General Lines	2/9/1995	8/15/2000
* 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	Great American Insurance Company	301586	Agent - General Lines	5/16/1995	3/31/1996
Inactive	Merchants Bonding Company (Mutual)	300170	Agent - Casualty	8/15/2000	1/14/2009
Inactive	Merchants Bonding Company (Mutual)	300170	Agent - General Lines	2/15/1995	8/15/2000
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	1/2/2002	2/20/2008
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	1/2/2002	2/20/2008
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	8/15/2000	3/20/2009
Inactive	Wausau Business Insurance Company	301476	Agent - General Lines	2/9/1995	8/15/2000
Inactive	Wausau Business Insurance Company	301476	Agent - Property	8/15/2000	3/20/2009
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	8/15/2000	3/20/2009
Inactive	Wausau Underwriters Insurance Company	301105	Agent - General Lines	2/9/1995	8/15/2000
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	8/15/2000	3/20/2009
Inactive	Westfield Insurance Company	301950	Agent - Casualty	1/2/2002	2/20/2008
Inactive	Westfield Insurance Company	301950	Agent - Property	1/2/2002	2/20/2008
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	1/2/2002	2/20/2008
Inactive	Westfield National Insurance Company	301036	Agent - Property	1/2/2002	2/20/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Services Mountain West, Inc.	533395	Agent - Property	7/7/2003	12/7/2005
Inactive	Wells Fargo Insurance Services Mountain West, Inc.	533395	Agent - Casualty	7/7/2003	12/7/2005