DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bailey, Charles L	DOIID	1043471	NAIC NPN	19190429

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/15/2021	3/31/2023
Inactive	Non Resident	Agent	Property	2/15/2021	3/31/2023
Active	Non Resident	Independent Adjuster	Property & Casualty	1/12/2023		3/31/2027
Inactive	Non Resident	Staff Adjuster	Property & Casualty	6/11/2019	3/31/2021
* 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
Independent Adjuster	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	2/16/2021	7/19/2021
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	2/16/2021	7/19/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AFICS, Inc	1122840	Independent Adjuster - Property & Casualty	3/1/2023	12/6/2023