DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Charles K. Monin III Inc.	DOIID	398657	NAIC NPN	7221089

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	5/28/1999		3/31/2027
Active	Resident	Agent	Casualty	8/15/2000		3/31/2027
Active	Resident	Agent	Health	5/28/1999		3/31/2027
Active	Resident	Agent	Property	8/15/2000		3/31/2027
Inactive	Resident	Agent	General Lines	5/28/1999	8/15/2000
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/1/2005
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/1/2005	10/16/2012
Active	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	5/28/1999	8/15/2000
Active	FB Insurance Company (The)	301763	Agent - Property	8/15/2000
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	5/28/1999	8/15/2000
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	5/28/1999
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	5/28/1999

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Monin, Charles K	391754	Agent - Casualty	8/15/2000
Inactive	Monin, Charles K	391754	Agent - General Lines	5/28/1999	8/15/2000
Active	Monin, Charles K	391754	Agent - Health	5/28/1999
Active	Monin, Charles K	391754	Agent - Life	5/28/1999
Active	Monin, Charles K	391754	Agent - Property	8/15/2000