DEPARTMENT OF INSURANCE

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	Health	4/29/2011		7/31/2025
Active	Non Resident	Agent	Property	4/29/2011		7/31/2025
Active	Non Resident	Agent	Travel	7/29/2010		7/31/2025
Active	Non Resident	Agent	Casualty	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.

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