DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Betz, Charles Kelly	DOIID	804900	NAIC NPN	8440312

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/29/2023		5/31/2026
Active	Non Resident	Agent	Life	11/29/2023		5/31/2026
* 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
Active	AAA Life Insurance Company	300287	Agent - Health	12/4/2023
Active	AAA Life Insurance Company	300287	Agent - Life	12/4/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	3/2/2013	12/8/2014
Inactive	American General Life Insurance Company	301585	Agent - Life	3/2/2013	12/8/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aca Club Insurance Agency, Inc.	1033550	Agent - Life	12/4/2023
Active	Aca Club Insurance Agency, Inc.	1033550	Agent - Health	12/4/2023