DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shawver, Charlene Jeanette	DOIID	636067	NAIC NPN	8857767

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/4/2009	8/1/2011
Inactive	Resident	Agent	Health	7/24/2006	8/1/2007
* 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	Forethought Life Insurance Company	301407	Agent - Life	6/15/2009	2/24/2010
Inactive	United American Insurance Company	300910	Agent - Health	7/24/2006	12/21/2006
Inactive	United American Insurance Company	300910	Agent - Life	7/24/2006	12/21/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Health	10/2/2006	12/21/2006
Inactive	Medlink Inc	400721	Agent - Life	10/2/2006	12/21/2006