DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brussell, Charles Derrick	DOIID	817812	NAIC NPN	17039964

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	8/16/2013		7/31/2025
* 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	American National Insurance Company	301861	Agent - Limited Line Credit	8/27/2015	5/17/2024
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/16/2013	7/14/2021
Active	Plateau Insurance Company	300368	Agent - Limited Line Credit	12/12/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Farmers National Bank	400891	Agent - Limited Line Credit	7/20/2015