DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Caldwell, Charles Humphrey	DOIID	552312	NAIC NPN	2561168

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/20/2002	11/21/2005
Inactive	Non Resident	Agent	Health	6/20/2002	11/21/2005
* 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	Provident Life and Accident Insurance Company	301525	Agent - Health	6/17/2004	11/21/2005
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/17/2004	11/21/2005
Inactive	Union Security Insurance Company	301844	Agent - Health	6/20/2002	11/21/2005
Inactive	Union Security Insurance Company	301844	Agent - Life	6/20/2002	11/21/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lockton Insurance Brokers Inc.	512374	Agent - Health	6/20/2002	11/21/2005
Inactive	Lockton Insurance Brokers Inc.	512374	Agent - Life	6/20/2002	11/21/2005