DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Booms, Charles Edward	DOIID	584421	NAIC NPN	2514940

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/16/2004	10/31/2007
Inactive	Non Resident	Agent	Health	2/16/2004	10/31/2007
* 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	2/18/2004	10/31/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/18/2004	10/31/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/16/2004	10/31/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/16/2004	10/31/2007

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	3/12/2004	2/28/2007
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/12/2004	10/31/2007