DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mann Jr, Charles	DOIID	393142	NAIC NPN	7210040

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Crop
Inactive	Resident	Agent	Life	9/29/1986	7/1/2002
Inactive	Resident	Agent	Health	9/29/1986	7/1/2002
Inactive	Resident	Agent	Limited Line Credit	4/8/2010	6/30/2012
* 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	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	4/8/2010	6/30/2012
Inactive	Liberty Life Insurance Company	301542	Agent - Health	10/23/2001	1/23/2002
Inactive	Liberty Life Insurance Company	301542	Agent - Life	10/23/2001	1/23/2002
Denied	Modern Service Insurance Company	301555	Agent - Crop
Inactive	Southern Financial Life Insurance Company	300664	Agent - Health	9/28/1998	7/1/2002
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	9/28/1998	7/1/2002
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/29/1986	9/28/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/29/1986	9/28/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First State Bank Incorporated	399998	Agent - Limited Line Credit	6/16/2010	6/30/2012