DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shouse, Charles Berry	DOIID	556976	NAIC NPN	7441272

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Property
Denied	Resident	Agent	Casualty
Inactive	Resident	Agent	Life	9/30/2002	7/1/2004
Inactive	Resident	Agent	Health	9/30/2002	7/1/2004
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/10/2003	5/27/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/10/2003	5/27/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/24/2003	7/1/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/24/2003	7/1/2004
Denied	Independent Mutual Fire Insurance Company	300851	Agent - Casualty
Denied	Independent Mutual Fire Insurance Company	300851	Agent - Property
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/30/2002	7/3/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/30/2002	7/3/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/6/2003	7/1/2004
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/6/2003	7/1/2004