DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Borland, Charles Daniel	DOIID	361985	NAIC NPN	815176

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/18/2002	6/30/2011
Inactive	Non Resident	Agent	Life	11/18/2002	6/30/2011
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/30/2009	6/30/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/30/2009	6/30/2011
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	5/16/1996	12/11/2000
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	5/16/1996	12/11/2000
Inactive	Health Resources Inc.	301210	Agent - Health	11/18/2002	1/4/2005
Inactive	PartnerRe Life Reinsurance Company of America	300550	Agent - Health	5/8/1998	5/13/2002
Inactive	PartnerRe Life Reinsurance Company of America	300550	Agent - Life	5/8/1998	5/13/2002
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/8/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/8/1995	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	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	5/10/2002
Denied	West Kentucky Group Benefits	401049	Agent - Health