DEPARTMENT OF INSURANCE

Affiliations

Name	Dawson, Charity Fine	DOIID	510302	NAIC NPN	7213877

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/14/2000	6/1/2009
Inactive	Resident	Agent	Life	8/15/2000	6/1/2009
* 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	American Heritage Life Insurance Company	300272	Agent - Health	6/25/2001	6/1/2009
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/25/2001	6/1/2009
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	11/3/2003	3/7/2005
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	11/3/2003	3/7/2005
Denied	DentiCare, Inc.	300655	Agent - Health
Inactive	EMC National Life Company	300388	Agent - Health	9/12/2007	2/23/2008
Inactive	EMC National Life Company	300388	Agent - Life	9/12/2007	2/23/2008
Inactive	Grange Life Insurance Company	300128	Agent - Health	10/9/2007	2/23/2008
Inactive	Grange Life Insurance Company	300128	Agent - Life	10/9/2007	2/23/2008
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	11/3/2003	3/7/2005
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	11/3/2003	3/7/2005
Inactive	Protective Life Insurance Company	300638	Agent - Health	11/21/2001	12/15/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/21/2001	12/15/2003
Denied	Union Security Insurance Company	301844	Agent - Health
Denied	Union Security Insurance Company	301844	Agent - Life
Denied	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/9/2005	6/1/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/9/2005	6/1/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/9/2005	6/1/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/9/2005	6/1/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hartfield Louisville, LLC	659359	Agent - Life	7/20/2007	2/10/2009
Inactive	Hartfield Louisville, LLC	659359	Agent - Health	7/20/2007	2/10/2009
Inactive	Willis of Louisville, Inc.	401313	Agent - Life	10/19/2000	7/3/2007
Inactive	Willis of Louisville, Inc.	401313	Agent - Health	10/19/2000	7/3/2007