DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stevens III, Charles H	DOIID	807044	NAIC NPN	16926069

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/3/2013	11/30/2014
Inactive	Non Resident	Agent	Property	4/3/2013	11/30/2014
Inactive	Non Resident	Independent Adjuster	Property & Casualty	9/4/2013	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	Continental Casualty Company	301019	Agent - Casualty	5/9/2013	4/17/2014
Inactive	Continental Casualty Company	301019	Agent - Property	5/9/2013	4/17/2014
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	7/23/2013	6/27/2014
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Property	7/23/2013	6/27/2014
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	7/23/2013	6/27/2014
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	7/23/2013	6/27/2014
Inactive	Old Republic Insurance Company	301225	Agent - Property	6/15/2013	4/8/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Asurion Insurance Services Inc	509331	Agent - Property	5/30/2013	4/1/2014
Inactive	Asurion Insurance Services Inc	509331	Agent - Casualty	5/30/2013	4/1/2014
Inactive	Asurion Insurance Services Inc	509331	Independent Adjuster - Property & Casualty	9/10/2013	11/24/2014
Inactive	Asurion Protection Services, LLC.	545067	Agent - Property	5/30/2013	4/1/2014
Inactive	Asurion Protection Services, LLC.	545067	Agent - Casualty	5/30/2013	4/1/2014
Inactive	Asurion Protection Services, LLC.	545067	Independent Adjuster - Property & Casualty	9/10/2013	11/24/2014