DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Champion, Charles Robert	DOIID	888172	NAIC NPN	17638160

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/9/2018	6/30/2020
Inactive	Non Resident	Agent	Property	1/9/2018	6/30/2020
Inactive	Non Resident	Agent	Health	8/22/2015	6/30/2020
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/28/2017	2/9/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/31/2017	2/9/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/31/2017	2/9/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	8/21/2017	1/9/2018
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	1/11/2018	3/9/2020
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	1/11/2018	3/9/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/18/2016	12/8/2016
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/12/2016	12/8/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/18/2016	12/8/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/18/2016	12/8/2016

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	1/22/2018	3/9/2020
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	1/22/2018	3/9/2020
Inactive	Ttec Financial Services Management LLC	881063	Agent - Property	10/26/2018	3/9/2020
Inactive	Ttec Financial Services Management LLC	881063	Agent - Casualty	10/26/2018	3/9/2020