DEPARTMENT OF INSURANCE

Name	Anderson, Charles Edwin	DOIID	325111	NAIC NPN	2807537

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		9/30/2025
Active	Resident	Agent	Life	4/24/1992		9/30/2025
Active	Resident	Agent	Health	4/24/1992		9/30/2025
Active	Resident	Agent	Property	8/15/2000		9/30/2025
Inactive	Resident	Agent	Health Maintenance Organization	7/7/1986	3/1/2001
Inactive	Resident	Agent	General Lines	1/12/1995	8/15/2000

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	Blackburn Insurance Group, Inc. 180 Town Mtn Rd, Ste 113 Pikeville, KY 415011754
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(606) 432-1077