DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Preston, Charles Taylor	DOIID	689106	NAIC NPN	2796533

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/25/2017		12/31/2024
Active	Non Resident	Agent	Life	10/7/2008		12/31/2024
Active	Non Resident	Agent	Health	10/7/2008		12/31/2024
Active	Non Resident	Agent	Property	1/25/2017		12/31/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/30/2014		12/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2024	12/31/2024
Surplus Lines Broker	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Benchmark Insurance Company	300374	Agent - Casualty	12/12/2017
Active	Benchmark Insurance Company	300374	Agent - Property	12/12/2017
Active	ClearPath Insurance Company	979815	Agent - Casualty	3/6/2024
Active	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	3/31/2021
Active	Manufacturers Alliance Insurance Company	519940	Agent - Property	3/31/2021
Inactive	National Trust Insurance Company	300367	Agent - Casualty	2/27/2020	2/16/2021
Inactive	National Trust Insurance Company	300367	Agent - Property	2/27/2020	2/16/2021
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	3/31/2021
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	3/31/2021
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	3/31/2021
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	3/31/2021
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	1/7/2009
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	1/7/2009
Active	UNUM Life Insurance Company of America	300817	Agent - Health	1/7/2009
Active	UNUM Life Insurance Company of America	300817	Agent - Life	1/7/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Propel Insurance Agency , LLC	536922	Agent - Health	8/16/2021
Active	Propel Insurance Agency , LLC	536922	Agent - Life	8/16/2021
Active	Propel Insurance Agency , LLC	536922	Surplus Lines Broker - Not Applicable	8/16/2021
Active	Propel Insurance Agency , LLC	536922	Agent - Property	8/16/2021
Active	Propel Insurance Agency , LLC	536922	Agent - Casualty	8/16/2021
Inactive	Senior Works LLC	713612	Agent - Health	1/15/2010	3/31/2012
Inactive	Senior Works LLC	713612	Agent - Life	1/15/2010	3/31/2012
Inactive	Tis Ins Services Inc	523150	Agent - Health	3/11/2020	7/31/2020
Inactive	Tis Ins Services Inc	523150	Agent - Life	3/11/2020	7/31/2020
Inactive	Tis Ins Services Inc	523150	Agent - Property	3/11/2020	7/31/2020
Inactive	Tis Ins Services Inc	523150	Agent - Casualty	3/11/2020	7/31/2020