DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dooley, Charles	DOIID	783413	NAIC NPN	16670298

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	7/11/2012	5/1/2014
Inactive	Resident	Agent	Life	7/10/2012	5/1/2014
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	7/25/2012	4/14/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/25/2012	4/14/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/5/2013	5/1/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/5/2013	5/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/25/2012	4/14/2014
Inactive	Humana Insurance Company	301104	Agent - Health	7/24/2012	4/14/2014
Inactive	Humana Insurance Company	301104	Agent - Life	7/24/2012	4/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/25/2012	4/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/25/2012	4/14/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/6/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/6/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/25/2012	4/14/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/25/2012	4/14/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/6/2012	5/1/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/6/2012	5/1/2014
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/6/2012	5/1/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/6/2012	5/1/2014

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	12/11/2013	5/1/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	5/1/2014
Denied	Medlink Inc	400721	Agent - Life
Denied	Medlink Inc	400721	Agent - Health
Inactive	Stonebridge Insurance PLLC	675259	Agent - Life	8/10/2012	5/1/2014
Inactive	Stonebridge Insurance PLLC	675259	Agent - Health	8/10/2012	5/1/2014