DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Briggs Jr, Charles L	DOIID	554825	NAIC NPN	1006736

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/26/2002	10/31/2005
Inactive	Non Resident	Agent	Life	8/26/2002	10/31/2005
* 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	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	11/19/2002	10/31/2005
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/25/2002	10/31/2005
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	10/25/2002	10/31/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/3/2004	10/31/2005
Inactive	Humana Insurance Company	301104	Agent - Health	6/22/2004	10/31/2005
Inactive	Humana Insurance Company	301104	Agent - Life	6/22/2004	10/31/2005
Inactive	John Alden Life Insurance Company	300573	Agent - Health	10/11/2002	11/19/2004
Inactive	John Alden Life Insurance Company	300573	Agent - Life	10/11/2002	11/19/2004
Inactive	Life Insurance Company of North America	300711	Agent - Health	12/24/2002	10/31/2005
Inactive	Life Insurance Company of North America	300711	Agent - Life	12/24/2002	10/31/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gallagher Benefit Services Inc	525782	Agent - Health	1/9/2004	1/31/2005
Inactive	Gallagher Benefit Services Inc	525782	Agent - Life	1/9/2004	1/31/2005