DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	C. B. Dubose Insurance Agency LLC	DOIID	1174011	NAIC NPN	2351822

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/23/2021		3/31/2027
Active	Non Resident	Agent	Life	11/23/2021		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	7/31/2022
Active	Accendo Insurance Company	300312	Agent - Health	7/25/2022
Inactive	Accendo Insurance Company	300312	Agent - Life	7/25/2022	12/19/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/1/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/25/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/1/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	12/1/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/25/2022	12/31/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/25/2022
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/27/2022	1/23/2025
Active	Insurance Company of North America	300226	Agent - Health	11/30/2025
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	7/27/2022
Active	SilverScript Insurance Company	663526	Agent - Health	12/1/2021
Inactive	Tier One Insurance Company	301056	Agent - Health	10/24/2022	11/30/2025
Inactive	Tier One Insurance Company	301056	Agent - Life	8/17/2022	11/30/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dubose, Charles B	857835	Agent - Health	11/23/2021
Active	Dubose, Charles B	857835	Agent - Life	11/23/2021
Active	Wilkerson, Chad	1406642	Agent - Health	8/22/2025
Denied	Wilkerson, Chad	1406642	Agent - Life