DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Draper, Charles Thomas	DOIID	969128	NAIC NPN	6406890

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/22/2017		1/31/2025
Active	Non Resident	Agent	Casualty	9/22/2017		1/31/2025
Active	Non Resident	Property & Casualty Consultant	Not Applicable	2/9/2024		1/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/22/2017		1/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2024	01/31/2025
Surplus Lines Broker	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Cincinnati Insurance Company	301298	Agent - Casualty	3/15/2018
Active	Cincinnati Insurance Company	301298	Agent - Property	3/15/2018
Active	Nationwide General Insurance Company	300603	Agent - Casualty	3/15/2020
Active	Nationwide General Insurance Company	300603	Agent - Property	3/15/2020
Active	Zurich American Insurance Company	301121	Agent - Casualty	11/13/2017
Active	Zurich American Insurance Company	301121	Agent - Property	11/13/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Michigan Inc	561744	Agent - Casualty	11/13/2017	2/25/2020
Inactive	Willis Of Michigan Inc	561744	Agent - Property	11/13/2017	2/25/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Casualty	2/6/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Property	2/6/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Surplus Lines Broker - Not Applicable	2/6/2020