DEPARTMENT OF INSURANCE

Affiliations

Name	Eissa, Charles Anthony	DOIID	628384	NAIC NPN	543168

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	3/21/2006	7/31/2020
Inactive	Non Resident	Agent	Health	8/14/2006	7/31/2020
* 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	Aetna Health Inc.	300694	Agent - Health	9/18/2007	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	6/24/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/18/2007	6/24/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/18/2007	6/24/2018
Inactive	American General Life Insurance Company	301585	Agent - Health	11/5/2006	7/6/2010
Inactive	American General Life Insurance Company	301585	Agent - Life	11/5/2006	7/6/2010
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	12/11/2006	6/10/2009
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	12/11/2006	6/10/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/8/2010
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	7/25/2006	6/11/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	10/2/2006	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	10/2/2006	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/2/2006	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/2/2006	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/2/2006	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/2/2006	9/8/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/24/2008	9/8/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/24/2008	9/8/2010
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	4/28/2008	3/18/2010
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	4/28/2008	3/18/2010
Inactive	Time Insurance Company	300683	Agent - Health	1/17/2007	10/21/2009
Inactive	Time Insurance Company	300683	Agent - Life	1/17/2007	10/21/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HBDC II, Inc	641352	Agent - Life	10/5/2006	6/24/2018
Inactive	HBDC II, Inc	641352	Agent - Health	10/5/2006	6/24/2018
Inactive	Insurint Corporation 62548	641654	Agent - Life	10/10/2006	5/22/2009
Inactive	Insurint Corporation 62548	641654	Agent - Health	10/10/2006	5/22/2009