DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pakan, Charlotte Ann	DOIID	713706	NAIC NPN	3214804

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/18/2009	4/30/2011
Inactive	Non Resident	Agent	Health	11/10/2015	4/30/2019
* 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	10/9/2009	4/30/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/9/2009	4/30/2011
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/23/2017	4/30/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/20/2017	4/30/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/18/2018	4/30/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/17/2015	4/30/2019
Inactive	Humana Insurance Company	301104	Agent - Health	11/17/2015	4/30/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/17/2015	4/30/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/20/2017	4/30/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/20/2017	4/30/2019
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	10/29/2009	4/30/2011
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	10/29/2009	4/30/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Corporate Call Center, Inc	695480	Agent - Health	10/9/2009	3/26/2010
Inactive	Corporate Call Center, Inc	695480	Agent - Life	10/9/2009	3/26/2010