DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Weller, Charles Thomas	DOIID	733397	NAIC NPN	15754047

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Travel	7/29/2010		7/31/2025
Active	Non Resident	Agent	Property	4/29/2011		7/31/2025
Active	Non Resident	Agent	Casualty	4/29/2011		7/31/2025
Active	Non Resident	Agent	Health	4/29/2011		7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	11/17/2011	7/24/2015
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Health	11/17/2011	7/24/2015
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Property	11/17/2011	7/24/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	7/21/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	7/21/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	7/21/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Travel	9/7/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Travel Guard Group Inc.	396290	Agent - Travel	3/10/2016