DEPARTMENT OF INSURANCE
Affiliations
NameBuckalew Jr, Charles DavidDOIID573200NAIC NPN565278
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentVariable Life and Variable Annuities7/21/2003 2/28/2026
Pending ReplacementNon ResidentAgentHealth7/21/2003 2/28/2026
Pending ReplacementNon ResidentAgentLife7/21/2003 2/28/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent12/15/202502/28/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBrighthouse Life Insurance Company301829Agent - Life9/5/20032/9/2010
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life8/27/200312/11/2006
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities8/27/200312/20/2006
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life9/5/200312/7/2007
InactiveNationwide Life Insurance Company300495Agent - Health8/10/20053/6/2012
InactiveNationwide Life Insurance Company300495Agent - Life8/10/20053/6/2012
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities8/10/20053/6/2012
Pending ReplacementProvident Life and Accident Insurance Company301525Agent - Health8/16/2019 
Pending ReplacementProvident Life and Accident Insurance Company301525Agent - Life8/16/2019 
Pending ReplacementStarmount Life Insurance Company628031Agent - Health8/16/2019 
Pending ReplacementUNUM Life Insurance Company of America300817Agent - Health8/16/2019 
Pending ReplacementUNUM Life Insurance Company of America300817Agent - Life8/16/2019 
Pending ReplacementUnited of Omaha Life Insurance Company300156Agent - Health1/8/2013 
Pending ReplacementUnited of Omaha Life Insurance Company300156Agent - Life1/8/2013 
Pending ReplacementUnited of Omaha Life Insurance Company300156Agent - Variable Life and Variable Annuities3/7/2024 
Pending ReplacementUnum Insurance Company301499Agent - Health8/16/2019 
Pending ReplacementUnum Insurance Company301499Agent - Life8/16/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementAcrisure Of California LLC861366Agent - Health7/2/2018 
Pending ReplacementAcrisure Of California LLC861366Agent - Life7/2/2018 

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