DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Paetz, Charles Richard	DOIID	778489	NAIC NPN	7283826

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/31/2012	11/30/2014
Inactive	Non Resident	Agent	Property	3/31/2012	11/30/2014
* 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	Nationwide Mutual Insurance Company	301749	Agent - Casualty	1/30/2013	5/22/2013
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	1/30/2013	5/22/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	1/22/2013	12/21/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	1/22/2013	12/21/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Firefly Agency LLC	663796	Agent - Property	2/21/2013	11/30/2014
Inactive	Firefly Agency LLC	663796	Agent - Casualty	2/21/2013	11/30/2014