DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Charles	DOIID	687770	NAIC NPN	11465756

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/25/2008	5/31/2010
Inactive	Non Resident	Agent	Health	8/25/2008	5/31/2010
* 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. (PA)	660717	Agent - Health	10/29/2008	5/26/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/29/2008	5/26/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/29/2008	5/26/2009
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	1/9/2009	7/31/2009
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	1/9/2009	7/31/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Haberstroh Insurance Agency Inc	677010	Agent - Life	2/19/2009	5/26/2009
Inactive	Haberstroh Insurance Agency Inc	677010	Agent - Health	2/19/2009	7/31/2009