DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bevins, Charles Derrick	DOIID	846203	NAIC NPN	17327562

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Life
Inactive	Resident	Agent	Limited Line Credit	4/7/2016	10/31/2017
* 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 Health and Life Insurance Company	300844	Agent - Limited Line Credit	4/7/2016	5/12/2017
Inactive	Merit Life Insurance Co.	300150	Agent - Limited Line Credit	9/13/2016	5/12/2017
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	4/7/2016	5/12/2017
Inactive	Yosemite Insurance Company	301519	Agent - Limited Line Credit	9/13/2016	5/12/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	OneMain Financial Of America, Inc	821439	Agent - Limited Line Credit	10/27/2016	5/12/2017