DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fleishel, Charles	DOIID	378543	NAIC NPN	1305498

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/11/2014	12/31/2024
Inactive	Non Resident	Agent	Life	4/11/2014	12/31/2024
* 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	Provident Life and Accident Insurance Company	301525	Agent - Health	8/28/2014	12/31/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/28/2014	12/31/2024
Inactive	Prudential Insurance Company of America	300784	Agent - Health	9/2/2015	3/28/2018
Inactive	Prudential Insurance Company of America	300784	Agent - Life	9/2/2015	3/28/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/28/2014	12/31/2024
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/28/2014	12/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	2/17/2016	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	2/17/2016	10/9/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Life	1/4/2019	8/16/2024
Inactive	Usi Insurance Services LLC	669260	Agent - Health	1/4/2019	8/16/2024