DEPARTMENT OF INSURANCE

Affiliations

Name	Grant Sr., Charlton Carey	DOIID	353151	NAIC NPN	7192812

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	8/15/2000		11/30/2024
Active	Resident	Agent	Variable Life and Variable Annuities	5/31/2001		11/30/2024
Active	Resident	Agent	Life	7/10/1987		11/30/2024
Active	Resident	Agent	Health	11/30/2000		11/30/2024
Active	Resident	Agent	Casualty	8/15/2000		11/30/2024
Inactive	Resident	Agent	General Lines	6/29/1987	8/15/2000
Withdrawn	Resident	Agent	Personal Lines
* 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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nassau Life Insurance Company	301406	Agent - Life	6/4/2002	12/14/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Variable Life and Variable Annuities	6/4/2002	12/14/2004
Inactive	Nassau Life and Annuity Company	513671	Agent - Life	5/3/2002	12/14/2004
Inactive	Nassau Life and Annuity Company	513671	Agent - Variable Life and Variable Annuities	5/3/2002	12/14/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Life	9/11/2006	12/15/2010
Inactive	PHL Variable Insurance Company	300525	Agent - Variable Life and Variable Annuities	9/11/2006	12/15/2010
Active	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/15/2000
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	6/29/1987	8/15/2000
Active	State Farm Fire and Casualty Company	301809	Agent - Property	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	8/15/2000	11/23/2010
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	6/29/1987	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - Property	8/15/2000	11/23/2010
Active	State Farm Life Insurance Company	301810	Agent - Life	7/10/1987
Active	State Farm Life Insurance Company	301810	Agent - Variable Life and Variable Annuities	5/31/2001
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/15/2000
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	6/29/1987	8/15/2000
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	11/30/2000
Inactive	Time Insurance Company	300683	Agent - Health	1/5/2001	8/5/2016
Inactive	Time Insurance Company	300683	Agent - Life	1/5/2001	8/5/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Placement Services Inc.	519096	Agent - Health	4/12/2001	2/25/2004