DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackmon, Charles	DOIID	638039	NAIC NPN	8828021

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/16/2006	8/31/2011
Inactive	Non Resident	Agent	Property	8/16/2006	8/31/2011
* 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	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	2/12/2010	11/10/2010
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	2/12/2010	11/10/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh USA LLC.	514638	Agent - Property	2/22/2010	4/26/2010
Inactive	Marsh USA LLC.	514638	Agent - Casualty	2/22/2010	4/26/2010