DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Palmer III, Charles Benjamin	DOIID	392863	NAIC NPN	1892965

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	7/23/1993	12/11/2002
Inactive	Resident	Agent	Life	7/23/1993	12/11/2002
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	1/21/1998	12/11/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/21/1998	12/11/2002
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	9/6/1995	12/2/1996
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	9/6/1995	12/2/1996
Inactive	Conseco Insurance Company	301202	Agent - Health	7/23/1993	12/11/2002
Inactive	Conseco Insurance Company	301202	Agent - Life	7/23/1993	12/11/2002
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	12/13/1995	12/11/2002
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	12/13/1995	12/11/2002
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/19/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/19/1995	3/31/1997
Inactive	LifeUSA Insurance Company	300386	Agent - Health	1/21/1998	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	1/21/1998	8/2/2002
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	11/4/1996	3/3/1999
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	11/4/1996	3/3/1999
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	8/24/1995	12/11/2002
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	8/24/1995	12/11/2002
Inactive	USG Annuity & Life Company	300457	Agent - Life	2/27/1997	12/11/2002
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	8/16/1993	2/14/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	8/9/2001	12/11/2002
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	8/9/2001	12/11/2002