DEPARTMENT OF INSURANCE
Affiliations
NameMayberry Jr, Charles EDOIID391014NAIC NPN829466
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife10/25/1994 2/28/2027
ActiveNon ResidentAgentHealth10/25/1994 2/28/2027
InactiveNon ResidentAgentHealth Maintenance Organization6/9/19953/1/2001 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE Property and Casualty Insurance Company300520Agent - Health12/22/20224/5/2025
ActiveAetna Health Inc. (PA)660717Agent - Health8/13/2018 
ActiveAetna Health and Life Insurance Company300523Agent - Health8/22/2017 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
ActiveAetna Life Insurance Company301140Agent - Health8/13/2018 
ActiveAetna Life Insurance Company301140Agent - Life8/13/2018 
InactiveAmerican Continental Insurance Company643130Agent - Life8/22/201712/6/2021
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20014/1/2002
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization6/9/19953/1/2001
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/23/2021 
ActiveAnthem Life Insurance Company301209Agent - Health4/5/1995 
ActiveAnthem Life Insurance Company301209Agent - Life4/5/1995 
InactiveArcadian Health Plan, Inc.728196Agent - Health10/25/202112/12/2024
ActiveBanner Life Insurance Company301696Agent - Life5/15/2013 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health7/17/2022 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
ActiveCareSource Kentucky Co.838179Agent - Health11/1/2019 
InactiveCentral States Indemnity Company of Omaha300285Agent - Health3/9/201612/15/2017
InactiveCompBenefits Dental, Inc.591692Agent - Health11/12/20133/14/2019
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
InactiveContinental Casualty Company301019Agent - Health10/30/199711/29/2004
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health8/22/2017 
InactiveDental Concern Inc. (The)301641Agent - Health4/15/202112/12/2024
ActiveFirst Health Life & Health Insurance Company301735Agent - Health8/13/2018 
InactiveGPM Health and Life Insurance Company927255Agent - Health9/7/20208/23/2021
InactiveGolden Rule Insurance Company301943Agent - Health1/11/201712/13/2018
InactiveGolden Rule Insurance Company301943Agent - Life1/11/201712/14/2018
InactiveGuarantee Life Insurance Company301560Agent - Health10/25/19949/8/2000
InactiveGuarantee Life Insurance Company301560Agent - Life10/25/19949/8/2000
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health12/19/202312/12/2024
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health11/21/20132/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health5/4/202012/12/2024
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization8/14/19973/1/2001
ActiveHumana Insurance Company301104Agent - Health4/2/2020 
InactiveHumana Insurance Company301104Agent - Life11/12/201312/19/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/12/20134/8/2020
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/4/202012/15/2020
InactiveHumana Medical Plan, Inc.801568Agent - Health10/13/201412/19/2019
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/201612/19/2019
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health9/8/20007/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life9/8/20007/2/2007
InactiveKanawha Insurance Company300127Agent - Health11/12/201310/22/2015
InactiveKanawha Insurance Company300127Agent - Life11/12/201310/22/2015
InactiveLasso Healthcare Insurance Company1022651Agent - Health10/20/20206/23/2023
InactiveLincoln National Life Insurance Company (The)301382Agent - Health7/2/20073/24/2009
InactiveLincoln National Life Insurance Company (The)301382Agent - Life7/2/20073/24/2009
ActiveManhattanLife Insurance and Annuity Company301795Agent - Health12/23/2020 
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health4/25/20165/16/2018
InactiveMetropolitan Life Insurance Company301948Agent - Health3/24/20054/27/2018
InactiveMetropolitan Life Insurance Company301948Agent - Life3/24/20051/26/2018
InactiveMutual of Omaha Insurance Company301012Agent - Health6/21/20079/30/2012
ActiveNorth River Insurance Company (The)301739Agent - Health4/16/2021 
InactivePrincipal Life Insurance Company300129Agent - Health11/22/199411/30/2003
InactivePrincipal Life Insurance Company300129Agent - Life11/22/199411/30/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Health1/11/19969/9/2015
InactiveProvident Life and Accident Insurance Company301525Agent - Life1/11/19969/9/2015
InactiveReassure America Life Insurance Company301902Agent - Health8/31/19951/2/2003
InactiveReassure America Life Insurance Company301902Agent - Life8/31/19951/2/2003
ActiveSilverScript Insurance Company663526Agent - Health11/6/2016 
InactiveStandard Insurance Company300185Agent - Health10/22/200912/5/2022
InactiveStandard Insurance Company300185Agent - Life10/22/200912/5/2022
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
ActiveTier One Insurance Company301056Agent - Life10/5/2022 
InactiveTime Insurance Company300683Agent - Health11/5/201312/20/2014
InactiveTime Insurance Company300683Agent - Life11/5/201312/20/2014
InactiveUnited World Life Insurance Company300532Agent - Health6/21/200712/15/2010
ActiveUnited of Omaha Life Insurance Company300156Agent - Health12/1/2020 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life12/1/2020 
ActiveUnitedHealthcare Insurance Company300946Agent - Health12/8/2020 
InactiveUnitedHealthcare Insurance Company300946Agent - Life12/9/200511/30/2016
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health12/8/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health12/8/202012/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health12/9/200511/30/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health12/8/2020 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health7/25/2019 
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health2/10/2023 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health11/19/2018 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Louisville Inc.401252Agent - Life4/18/19952/28/2003
InactiveAcordia of Louisville Inc.401252Agent - Health4/18/19952/28/2003
InactiveArison Insurance Services, Inc.401001Agent - Life11/30/19986/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health11/30/19986/23/2008
ActiveCallistus Smith Agency, Inc.515578Agent - Life10/13/2003 
ActiveCallistus Smith Agency, Inc.515578Agent - Health10/13/2003 
ActiveDesignated Agent Company Inc.681257Agent - Life6/24/2008 
ActiveDesignated Agent Company Inc.681257Agent - Health6/24/2008 
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
InactiveMedlink Inc400721Agent - Life9/27/20183/31/2024
InactiveMedlink Inc400721Agent - Health9/27/20183/31/2024

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