DEPARTMENT OF INSURANCE

Affiliations

Name	Dick, Charles R	DOIID	920162	NAIC NPN	18002764

License - Line of Authority Information

Status	Residency	Class	Line of Authority
Denied	Resident	Agent	Life
Denied	Resident	Agent	Health
* 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	Anthem Life Insurance Company	301209	Agent - Health	9/7/2016	12/1/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/7/2016	12/1/2017
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/27/2016	1/3/2017
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	7/27/2016	1/3/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/3/2016	12/29/2016
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	8/3/2016	12/30/2016
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Life	8/3/2016	12/30/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/12/2016	2/11/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/12/2016	2/11/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/3/2016	12/29/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/3/2016	12/29/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/3/2016	12/29/2016
Inactive	Humana Insurance Company	301104	Agent - Health	8/3/2016	12/29/2016
Inactive	Humana Insurance Company	301104	Agent - Life	8/3/2016	12/29/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/3/2016	12/29/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/3/2016	12/29/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/3/2016	12/29/2016
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	8/18/2016	12/29/2016
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	8/18/2016	12/29/2016
Inactive	National Health Insurance Company	300554	Agent - Health	1/4/2017	12/1/2017
Inactive	Senior Life Insurance Company	558267	Agent - Life	5/31/2017	9/19/2017
Inactive	Time Insurance Company	300683	Agent - Health	1/5/2017	12/1/2017
Inactive	Time Insurance Company	300683	Agent - Life	1/5/2017	12/1/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/25/2016	2/16/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/25/2016	2/16/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/7/2016	12/1/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/7/2016	12/1/2017
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	8/25/2016	3/9/2017
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	8/25/2016	3/9/2017