DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Farris, Charles Bennett	DOIID	353390	NAIC NPN	7192954

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/28/1993	6/30/2008
Inactive	Resident	Agent	Health	6/28/1993	6/30/2008
* 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	American Heritage Life Insurance Company	300272	Agent - Health	2/24/1994	3/12/2003
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	2/24/1994	3/12/2003
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Health	7/20/1993	4/12/1996
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Life	7/20/1993	4/12/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	6/28/1993	6/30/2008
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	6/28/1993	6/30/2008
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	1/5/2005	6/30/2008
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	1/5/2005	6/30/2008
Inactive	Midland National Life Insurance Company	300923	Agent - Health	1/14/1994	3/31/1997
Inactive	Midland National Life Insurance Company	300923	Agent - Life	1/14/1994	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Citizens National Bank	398169	Agent - Life	8/11/2003	6/30/2008
Inactive	Citizens National Bank	398169	Agent - Health	8/11/2003	6/30/2008