DEPARTMENT OF INSURANCE

Affiliations

Name	Summers, Charles R	DOIID	394156	NAIC NPN	6613243

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	9/13/2011		6/30/2025
Active	Resident	Agent	Health	9/13/2011		6/30/2025
Inactive	Non Resident	Agent	Prepaid Dental Plan	3/17/2000	6/1/2001
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Health	8/22/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/16/1999	6/1/2001
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/16/1999	6/1/2001
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	6/10/2014	7/27/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/10/2014	7/27/2018
Inactive	American United Life Insurance Company	300498	Agent - Health	8/11/2014	9/29/2023
Inactive	American United Life Insurance Company	300498	Agent - Life	8/11/2014	9/29/2023
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	12/18/1995	6/1/2001
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	12/18/1995	6/1/2001
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/23/1987	5/18/1998
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/23/1987	5/18/1998
Active	Combined Insurance Company of America	301472	Agent - Health	7/14/2014
Active	Combined Insurance Company of America	301472	Agent - Life	7/14/2014
Inactive	Companion Life Insurance Company	300191	Agent - Health	5/22/2000	6/1/2001
Inactive	Companion Life Insurance Company	300191	Agent - Life	5/22/2000	6/1/2001
Active	Dental Care Plus Inc.	301495	Agent - Health	2/25/2015
Inactive	DentiCare, Inc.	300655	Agent - Prepaid Dental Plan	3/17/2000	6/1/2001
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	5/17/2013	7/27/2016
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	3/2/2015
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	3/2/2015
Inactive	General American Life Insurance Company	300280	Agent - Health	3/26/1991	4/23/1997
Inactive	General American Life Insurance Company	300280	Agent - Life	3/26/1991	4/23/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/23/2011	6/30/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/23/2011	6/30/2011
Inactive	Jefferson National Life Insurance Company	300258	Agent - Health	8/20/1993	6/1/2001
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	8/20/1993	6/1/2001
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/13/2012	5/4/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/13/2012	5/4/2017
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/10/2012	10/13/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/10/2012	10/13/2012
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	9/30/1991	3/31/1997
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	9/30/1991	3/31/1997
Inactive	Medical Life Insurance Company	300693	Agent - Health	4/10/2000	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	4/10/2000	12/31/2004
Inactive	Northern Life Insurance Company	300301	Agent - Health	3/29/1996	6/1/2001
Inactive	Northern Life Insurance Company	300301	Agent - Life	3/29/1996	6/1/2001
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	5/23/2011	6/30/2011
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	5/23/2011	6/30/2011
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/16/1998	6/1/2001
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/16/1998	6/1/2001
Inactive	Reserve National Insurance Company	301073	Agent - Health	7/5/2013	3/28/2016
Inactive	Reserve National Insurance Company	301073	Agent - Life	7/5/2013	3/28/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/14/1998	6/26/2000
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/14/1998	6/26/2000
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/23/2011	6/30/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/23/2011	6/30/2011
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/23/2011	6/30/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/23/2011	6/30/2011
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	11/21/1997	6/1/2001
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	11/21/1997	6/1/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benefit Communicators National LLC	400850	Agent - Life	8/13/1997	6/1/2001
Inactive	Benefit Communicators National LLC	400850	Agent - Health	8/13/1997	6/1/2001
Inactive	Kentucky Benefit Specialists, LLC	813606	Agent - Life	7/1/2013	9/12/2014
Inactive	Kentucky Benefit Specialists, LLC	813606	Agent - Health	7/1/2013	9/12/2014
Inactive	Kentucky Educator's Inc.	400729	Agent - Life	2/18/1992	6/1/2001
Inactive	Kentucky Educator's Inc.	400729	Agent - Health	2/18/1992	6/1/2001