DEPARTMENT OF INSURANCE

Affiliations

Name	Charles, Michael Derek	DOIID	756112	NAIC NPN	16256115

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	6/24/2011	5/1/2019
Inactive	Resident	Agent	Property	7/8/2011	5/1/2019
Inactive	Resident	Agent	Casualty	7/8/2011	5/1/2019
Inactive	Resident	Agent	Health	6/24/2011	5/1/2019
* 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	AAA Life Insurance Company	300287	Agent - Health	3/5/2015	3/4/2016
Inactive	AAA Life Insurance Company	300287	Agent - Life	3/5/2015	3/4/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	5/14/2015	3/10/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Property	5/14/2015	3/10/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	5/14/2015	3/10/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/14/2015	3/10/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	5/14/2015	3/10/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Property	5/14/2015	3/10/2016
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	4/21/2015	3/14/2016
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	4/21/2015	3/14/2016
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	4/2/2015	3/1/2016
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	4/2/2015	3/1/2016
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	4/2/2015	3/1/2016
Inactive	CSAA General Insurance Company	606675	Agent - Property	4/2/2015	3/1/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Health	5/8/2015	4/20/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Life	5/8/2015	4/20/2016
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	7/27/2015	4/13/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/12/2015	3/7/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/12/2015	3/7/2016
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/28/2015	3/23/2016
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/21/2015	3/14/2016
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	4/21/2015	3/14/2016
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	4/28/2016	4/22/2019
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	4/28/2016	4/22/2019
Inactive	State Farm Life Insurance Company	301810	Agent - Life	4/28/2016	4/22/2019
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	4/28/2016	4/22/2019
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	4/28/2016	4/22/2019
Inactive	Time Insurance Company	300683	Agent - Health	11/2/2011	3/4/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/7/2015	4/25/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/7/2015	4/25/2016
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	4/21/2015	3/14/2016
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	4/21/2015	3/14/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/20/2015	2/22/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/20/2015	2/22/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Life	3/3/2015	3/4/2015
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Health	3/3/2015	3/4/2015
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Casualty	3/3/2015	3/4/2015
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Property	3/3/2015	3/4/2015