DEPARTMENT OF INSURANCE
Affiliations
NameMedina, Charles DOIID830746NAIC NPN16979732
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife8/19/2019 4/30/2027
ActiveNon ResidentAgentHealth8/16/2019 4/30/2027
ActiveNon ResidentAgentVariable Life and Variable Annuities8/19/2019 4/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent02/15/202504/30/202502/03/202502/03/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBanner Life Insurance Company301696Agent - Life8/23/2019 
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life5/22/20223/22/2023
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities5/22/20223/22/2023
ActiveJackson National Life Insurance Company300486Agent - Life11/4/2020 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities10/19/2020 
ActiveNationwide Life Insurance Company300495Agent - Health2/26/2021 
ActiveNationwide Life Insurance Company300495Agent - Life2/26/2021 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities2/26/2021 
InactivePacific Life Insurance Company301848Agent - Health10/28/202112/8/2022
InactivePacific Life Insurance Company301848Agent - Life10/28/202112/8/2022
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities10/28/202112/8/2022
InactiveTalcott Resolution Life Insurance Company301759Agent - Life2/10/20145/18/2014
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities2/10/20145/18/2014
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life2/10/20145/18/2014
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities2/10/20145/18/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveMorgan Stanley Insurance Services Inc644934Agent - Life8/23/2019 
DeniedMorgan Stanley Insurance Services Inc644934Agent - Variable Life and Variable Annuities  
DeniedMorgan Stanley Insurance Services Inc644934Agent - Health  

© Commonwealth of Kentucky. All rights reserved.