DEPARTMENT OF INSURANCE

Affiliations

Name	Carlson, Shannon Michelle	DOIID	680829	NAIC NPN	9893724

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/6/2024		11/30/2025
Inactive	Non Resident	Agent	Life	5/16/2008	11/30/2011
* 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
Agent	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/18/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/1/2021	11/30/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/18/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	8/18/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/9/2021	11/30/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/9/2021	11/30/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/27/2008	12/3/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	5/27/2008	12/3/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	5/27/2008	12/3/2010
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/1/2021	11/30/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/3/2010
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/16/2020	1/8/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/27/2008	12/3/2010
Inactive	Humana Insurance Company	301104	Agent - Health	5/27/2008	12/3/2010
Inactive	Humana Insurance Company	301104	Agent - Life	5/27/2008	12/3/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/27/2008	12/3/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/27/2008	12/3/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/28/2010	12/3/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/28/2010	12/3/2010
Active	SilverScript Insurance Company	663526	Agent - Health	8/18/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/7/2020	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/7/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	4/2/2009	12/3/2010
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/2/2009	12/3/2010