DEPARTMENT OF INSURANCE

Affiliations

Name	Skeens, Charles R	DOIID	506051	NAIC NPN	7212139

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Property	8/10/2001	9/26/2002
Denied	Resident	Agent	Casualty	8/10/2001	9/26/2002
Inactive	Resident	Agent	Life	7/12/2000	12/11/2002
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	12/11/2002
Inactive	Resident	Agent	Health	7/12/2000	9/26/2002
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	10/1/2001	9/26/2002
Inactive	AIG Assurance Company	300897	Agent - Property	10/1/2001	9/26/2002
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	6/7/2002	9/26/2002
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	6/7/2002	9/26/2002
Inactive	CUNA Mutual Life Insurance Company	301467	Agent - Health	7/12/2000	6/10/2002
Inactive	CUNA Mutual Life Insurance Company	301467	Agent - Life	7/12/2000	6/10/2002
Inactive	CUNA Mutual Life Insurance Company	301467	Agent - Variable Life and Variable Annuities	2/26/2001	6/10/2002
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	6/7/2002	9/26/2002
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	6/7/2002	9/26/2002
Inactive	Encova Life Insurance Company	301818	Agent - Life	11/19/2001	9/26/2002
Inactive	Granite State Insurance Company	300818	Agent - Casualty	10/1/2001	9/26/2002
Inactive	Granite State Insurance Company	300818	Agent - Property	10/1/2001	9/26/2002
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	10/1/2001	3/31/2002
Inactive	Illinois National Insurance Company	301367	Agent - Property	10/1/2001	3/31/2002
Inactive	MICO Insurance Company	301664	Agent - Casualty	8/21/2001	9/26/2002
Inactive	MICO Insurance Company	301664	Agent - Property	8/21/2001	9/26/2002
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	8/10/2001	9/26/2002
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	8/10/2001	9/26/2002
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	9/11/2000	12/11/2002
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/7/2002	9/26/2002
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	6/7/2002	9/26/2002
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	6/7/2002	9/26/2002
Inactive	The Phoenix Insurance Company	301502	Agent - Property	6/7/2002	9/26/2002
Inactive	TravCo Insurance Company	301828	Agent - Casualty	6/7/2002	9/26/2002
Inactive	TravCo Insurance Company	301828	Agent - Property	6/7/2002	9/26/2002
Denied	Travelers Casualty Company of Connecticut	301505	Agent - Casualty
Denied	Travelers Casualty Company of Connecticut	301505	Agent - Property
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	6/7/2002	9/26/2002
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	6/7/2002	9/26/2002
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	6/7/2002	12/11/2002
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	6/7/2002	12/11/2002
Denied	Travelers Property Casualty Insurance Company	301508	Agent - Casualty
Denied	Travelers Property Casualty Insurance Company	301508	Agent - Property
Inactive	Union Security Insurance Company	301844	Agent - Health	1/22/2001	9/26/2002
Inactive	Union Security Insurance Company	301844	Agent - Life	9/22/2000	4/4/2002
Inactive	Union Security Insurance Company	301844	Agent - Variable Life and Variable Annuities	7/9/2001	4/4/2002
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	1/16/2001	9/26/2002
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	1/16/2001	9/26/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Optional Financial Services Inc.	399242	Agent - Life	11/28/2000	12/11/2002
Inactive	Optional Financial Services Inc.	399242	Agent - Health	11/28/2000	9/26/2002
Inactive	Optional Financial Services Inc.	399242	Agent - Variable Life and Variable Annuities	7/30/2001	6/10/2002
Inactive	Optional Financial Services Inc.	399242	Agent - Property	9/6/2001	12/11/2002
Inactive	Optional Financial Services Inc.	399242	Agent - Casualty	9/6/2001	12/11/2002