DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dubose Jr, Charles B	DOIID	857835	NAIC NPN	2465736

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/23/2014		8/31/2028
Active	Non Resident	Agent	Life	10/23/2014		8/31/2028
* 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	Accendo Insurance Company	300312	Agent - Health	7/25/2022
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	12/31/2025
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/30/2019	9/24/2025
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/25/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/3/2020	9/24/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/30/2019	9/24/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	12/31/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/25/2022
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/27/2022	1/23/2025
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	8/3/2018	1/24/2019
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	11/23/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/24/2019	9/24/2025
Inactive	Tier One Insurance Company	301056	Agent - Health	10/24/2022	11/30/2025
Inactive	Tier One Insurance Company	301056	Agent - Life	8/17/2022	11/30/2025
Active	Union Security Insurance Company	301844	Agent - Health	7/31/2018
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/20/2019	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/20/2019	3/2/2025
Active	Western United Life Insurance Company	659052	Agent - Health	2/3/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	C. B. Dubose Insurance Agency LLC	1174011	Agent - Life	11/23/2021	5/8/2026
Inactive	C. B. Dubose Insurance Agency LLC	1174011	Agent - Health	11/23/2021	5/8/2026