DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Delich, Charles	DOIID	526250	NAIC NPN	1351605

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	5/17/2001	3/21/2022
Inactive	Non Resident	Agent	Life	10/2/2015	3/21/2022
Inactive	Non Resident	Agent	Casualty	5/17/2001	3/21/2022
Inactive	Non Resident	Agent	Health	10/2/2015	3/21/2022
* 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
Inactive	Atlantic Mutual Insurance Company	300977	Agent - Casualty	5/17/2001	9/2/2005
Inactive	Atlantic Mutual Insurance Company	300977	Agent - Property	5/17/2001	9/2/2005
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/5/2018	5/12/2021
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/5/2018	5/12/2021
Inactive	Federal Insurance Company	301144	Agent - Casualty	1/19/2011	5/3/2022
Inactive	Federal Insurance Company	301144	Agent - Property	1/19/2011	5/3/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/5/2018	5/12/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/5/2018	5/12/2021
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	7/10/2013	7/28/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	7/10/2013	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	7/10/2013	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	7/10/2013	7/28/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/31/2019	4/2/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/31/2019	4/2/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/9/2015	4/2/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/9/2015	4/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	1/19/2011	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	1/19/2011	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	11/9/2015	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	11/9/2015	12/2/2016
Inactive	Usi Insurance Services LLC	669260	Agent - Property	12/27/2018	2/18/2021
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	12/27/2018	2/18/2021
Inactive	Usi Insurance Services LLC	669260	Agent - Health	12/27/2018	2/18/2021
Inactive	Usi Insurance Services LLC	669260	Agent - Life	1/31/2019	2/18/2021
Inactive	Wells Fargo Insurance Services Mountain West, Inc.	533395	Agent - Property	3/6/2003	9/2/2005
Inactive	Wells Fargo Insurance Services Mountain West, Inc.	533395	Agent - Casualty	3/6/2003	9/2/2005