DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Payne, Charlotte	DOIID	737888	NAIC NPN	3088184

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/22/2010	11/30/2018
Inactive	Non Resident	Agent	Casualty	9/22/2010	11/30/2018
Inactive	Non Resident	Agent	Health	9/22/2010	11/30/2018
Inactive	Non Resident	Agent	Property	9/22/2010	11/30/2018
* 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	Continental Casualty Company	301019	Agent - Casualty	12/2/2010	11/30/2018
Inactive	Continental Casualty Company	301019	Agent - Property	12/2/2010	11/30/2018
Inactive	Markel Insurance Company	301475	Agent - Casualty	1/15/2014	11/30/2018
Inactive	Markel Insurance Company	301475	Agent - Health	1/15/2014	11/30/2018
Inactive	Markel Insurance Company	301475	Agent - Property	1/15/2014	11/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	1/15/2014	5/6/2014
Denied	USI Insurance Services National, Inc	509421	Agent - Life
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	6/4/2013	5/6/2014
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	6/4/2013	5/6/2014
Inactive	Usi Insurance Services LLC	669260	Agent - Health	6/5/2014	7/14/2015
Denied	Usi Insurance Services LLC	669260	Agent - Life
Inactive	Usi Insurance Services LLC	669260	Agent - Property	6/5/2014	7/14/2015
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	6/5/2014	7/14/2015
Denied	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Health
Denied	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Life
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Property	1/10/2011	6/4/2013
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Casualty	1/10/2011	6/4/2013