DEPARTMENT OF INSURANCE

Affiliations

Name	Gray, Charlotte Lena	DOIID	1019588	NAIC NPN	6779184

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/15/2024		5/31/2027
Inactive	Non Resident	Agent	Life	11/18/2018	5/31/2023
* 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	03/15/2027	05/31/2027

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	9/8/2021	5/31/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/5/2026
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/13/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	6/13/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/11/2021	10/29/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/1/2021	10/29/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/1/2021	10/29/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/2/2020	5/4/2021
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/22/2020	5/4/2021
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/1/2021	10/29/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/5/2026
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/26/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/22/2020	5/4/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/16/2020	5/4/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/20/2018	4/16/2019
Inactive	Humana Insurance Company	301104	Agent - Health	10/22/2020	5/4/2021
Inactive	Humana Insurance Company	301104	Agent - Life	10/30/2019	12/24/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/20/2018	4/16/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/20/2018	4/16/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/2/2020	5/4/2021
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/16/2020	5/4/2021
Active	SilverScript Insurance Company	663526	Agent - Health	6/13/2025
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	8/21/2024	4/24/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Humana MarketPOINT Inc.	398092	Agent - Life
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	10/22/2020	5/4/2021