DEPARTMENT OF INSURANCE

Affiliations

Name	Gross, Charles Wayne	DOIID	372459	NAIC NPN	258307

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	9/29/1989	4/22/2004
Inactive	Non Resident	Agent	Casualty	8/15/2000	4/22/2004
Inactive	Non Resident	Agent	General Lines	2/24/1987	8/15/2000
Inactive	Non Resident	Agent	Life	9/29/1989	4/22/2004
Inactive	Non Resident	Agent	Property	8/15/2000	4/22/2004
* 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	Aetna Life Insurance Company	301140	Agent - Health	9/29/1989	4/22/2004
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/29/1989	4/22/2004
Inactive	American Automobile Insurance Company	300953	Agent - Casualty	8/15/2000	4/22/2004
Inactive	American Automobile Insurance Company	300953	Agent - General Lines	5/8/1998	8/15/2000
Inactive	American Automobile Insurance Company	300953	Agent - Property	8/15/2000	4/22/2004
Inactive	American Motorists Insurance Company	301212	Agent - Casualty	8/15/2000	5/31/2003
Inactive	American Motorists Insurance Company	301212	Agent - General Lines	4/27/1987	8/15/2000
Inactive	American Motorists Insurance Company	301212	Agent - Property	8/15/2000	5/31/2003
Inactive	Centre Insurance Company	301599	Agent - General Lines	7/13/1998	3/31/2000
Inactive	Commercial Compensation Insurance Company	301235	Agent - General Lines	12/11/1998	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	4/22/2004
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	6/20/1997	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	4/22/2004
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	4/22/2004
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	6/20/1997	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	4/22/2004
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	4/22/2004
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	6/20/1997	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	4/22/2004
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	4/22/2004
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	6/20/1997	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	4/22/2004
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	4/22/2004
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	6/20/1997	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	4/22/2004
Inactive	Life Insurance Company of North America	300711	Agent - Health	7/16/1991	4/22/2004
Inactive	Life Insurance Company of North America	300711	Agent - Life	7/16/1991	4/22/2004
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Casualty	8/15/2000	5/31/2003
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - General Lines	4/27/1987	8/15/2000
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Property	8/15/2000	5/31/2003
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	8/15/2000	4/22/2004
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - General Lines	2/24/1987	8/15/2000
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	8/15/2000	4/22/2004
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	8/15/2000	4/22/2004
Inactive	St. Paul Mercury Insurance Company	300783	Agent - General Lines	2/24/1987	8/15/2000
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	8/15/2000	4/22/2004
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	4/22/2004
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	6/20/1997	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	4/22/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Edgewood Partners Insurance Center	549891	Agent - Life	5/24/2002	4/22/2004
Inactive	Edgewood Partners Insurance Center	549891	Agent - Health	5/24/2002	4/22/2004
Inactive	Edgewood Partners Insurance Center	549891	Agent - Property	5/28/2002	4/22/2004
Inactive	Edgewood Partners Insurance Center	549891	Agent - Casualty	5/28/2002	4/22/2004