DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ross, Charles	DOIID	613002	NAIC NPN	3289560

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/2/2005	3/31/2013
Inactive	Non Resident	Agent	Casualty	8/2/2005	3/31/2013
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	4/28/2006	9/30/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Property	4/28/2006	9/30/2011
Inactive	American Home Assurance Company	300246	Agent - Casualty	4/28/2006	3/31/2013
Inactive	American Home Assurance Company	300246	Agent - Property	4/28/2006	3/31/2013
Inactive	BCS Insurance Company	300294	Agent - Casualty	10/31/2007	10/13/2009
Inactive	BCS Insurance Company	300294	Agent - Property	10/31/2007	10/13/2009
Inactive	Jefferson Insurance Company	301127	Agent - Casualty	10/31/2007	10/13/2009
Inactive	Jefferson Insurance Company	301127	Agent - Property	10/31/2007	10/13/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	1/26/2007	9/4/2009
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	1/26/2007	9/4/2009