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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2025	06/30/2025

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
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	1/19/2025
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
Pending Replacement	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