DEPARTMENT OF INSURANCE

Name	Charles Taylor TPA, LLC	DOIID	401233	NAIC NPN	1980349

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Administrator	Not Applicable	8/22/1990		3/31/2025
Active	Resident	Agent	Life	5/21/1992		3/31/2025
Active	Resident	Agent	Property	8/15/2000		3/31/2025
Active	Resident	Agent	Casualty	8/15/2000		3/31/2025
Active	Resident	Agent	Health	5/21/1992		3/31/2025
Inactive	Resident	Agent	General Lines	4/20/1982	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	5/24/1988	3/1/2001
Inactive	Resident	Agent	Workers' Compensation	7/30/1985	8/15/2000
Inactive	Resident	Agent	Prepaid Dental Plan	4/3/1989	3/1/2001
Active	Resident	Independent Adjuster	Workers' Compensation	10/9/2008		3/31/2025
Active	Resident	Independent Adjuster	Property & Casualty	3/29/1994		3/31/2025
Active	Resident	Property & Casualty Consultant	Not Applicable	11/9/2006		3/31/2025

*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.

Address Information

Type	Address
Business / Home Office	1700 Eastpoint Parkway Louisville, KY 40223
Continuing Education Provider
Mailing	P.O. Box 23790 Louisville, KY 40223

Internet Information

Type	Address
Internet	www.charlestaylor.com
Business Email	gregory.sisson@charlestaylor.com

Phone Information

Type	Phone
Business / Home Office	(800) 928-1342