DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blasnitz, Charlotte Margaret	DOIID	575470	NAIC NPN	7687106

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/2/2003	7/7/2009
Inactive	Non Resident	Agent	Life	9/2/2003	7/7/2009
* 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	Continental Casualty Company	301019	Agent - Health	10/3/2003	12/10/2004
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	10/7/2004	7/7/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	10/7/2004	7/7/2009
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	6/28/2007	5/8/2009
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	6/28/2007	5/8/2009
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	10/18/2004	7/7/2009
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	6/16/2008	7/7/2009
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	6/16/2008	7/7/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	2/27/2008	7/7/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	2/27/2008	7/7/2009
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	10/3/2003	12/10/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	10/3/2003	12/10/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	10/14/2003	2/14/2005
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	10/14/2003	5/15/2009