DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cissell, Charity Dawn	DOIID	782089	NAIC NPN	16649034

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/22/2012	9/1/2015
Inactive	Resident	Agent	Health	6/22/2012	9/1/2015
* 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	All Savers Insurance Company	301940	Agent - Health	9/16/2013	4/16/2014
Inactive	All Savers Insurance Company	301940	Agent - Life	9/16/2013	4/16/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/29/2012	9/1/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/29/2012	9/1/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/21/2013	9/1/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/29/2012	9/1/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/29/2012	9/1/2015
Inactive	Epic Ins Solutions LLC	802896	Agent - Life	9/12/2013	9/1/2015
Inactive	Epic Ins Solutions LLC	802896	Agent - Health	9/12/2013	9/1/2015