DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mosley, Charles Edward	DOIID	683618	NAIC NPN	11013095

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/1/2011	5/1/2013
Inactive	Resident	Agent	Health	7/1/2011	5/1/2013
* 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	Anthem Life Insurance Company	301209	Agent - Health	10/31/2008	4/30/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/31/2008	4/30/2011
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	1/8/2009	3/1/2010
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	1/8/2009	3/1/2010
Inactive	Banner Life Insurance Company	301696	Agent - Life	12/3/2008	4/30/2011
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	1/21/2009	3/1/2010
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	1/21/2009	3/1/2010
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	1/30/2009	3/3/2010
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	1/30/2009	3/3/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/2/2009	3/26/2010
Inactive	Humana Insurance Company	301104	Agent - Health	9/1/2009	3/26/2010
Inactive	Humana Insurance Company	301104	Agent - Life	9/1/2009	3/26/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/4/2010	3/26/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/4/2010	3/26/2010
Inactive	Physicians Life Insurance Company	300924	Agent - Health	3/5/2010	10/19/2010
Inactive	Physicians Life Insurance Company	300924	Agent - Life	3/5/2010	10/19/2010
Inactive	Physicians Mutual Insurance Company, Inc.	301084	Agent - Health	3/5/2010	10/19/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/3/2008	1/21/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/3/2008	1/21/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/24/2008	4/30/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/24/2008	4/30/2011