DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bookman, Charolette Rae	DOIID	858706	NAIC NPN	17387060

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/12/2018	2/28/2021
Inactive	Non Resident	Agent	Casualty	1/12/2018	2/28/2021
Inactive	Non Resident	Agent	Health	10/29/2014	2/28/2021
* 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	Progressive Direct Insurance Company	301379	Agent - Casualty	1/3/2019	2/5/2019
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	1/3/2019	2/5/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/15/2018	12/11/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/15/2018	12/11/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/15/2018	12/11/2018
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/18/2016	12/21/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/15/2018	12/11/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	1/9/2019	2/5/2019
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	1/9/2019	2/5/2019