DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cook, Charles Patrick	DOIID	621125	NAIC NPN	645116

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/1/2005		8/31/2025
Active	Non Resident	Agent	Property	12/1/2005		8/31/2025
Active	Non Resident	Agent	Life	12/1/2005		8/31/2025
Active	Non Resident	Agent	Health	12/1/2005		8/31/2025
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	7/20/2012	3/14/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/20/2012	12/19/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/20/2012	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	7/20/2012	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	7/20/2012	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/20/2012	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/20/2012	12/19/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Alliant Insurance Services, Inc.	551378	Agent - Casualty
Denied	Alliant Insurance Services, Inc.	551378	Agent - Property
Denied	Alliant Insurance Services, Inc.	551378	Agent - Health
Denied	Alliant Insurance Services, Inc.	551378	Agent - Life
Denied	Mcgriff Insurance Services, LLC	400877	Agent - Health
Denied	Mcgriff Insurance Services, LLC	400877	Agent - Life