DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Carrie Lynn	DOIID	688643	NAIC NPN	11410950

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	10/14/2024		5/31/2026
Inactive	Non Resident	Agent	Health	9/9/2008	5/31/2016
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/28/2016	4/5/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	9/22/2008	7/2/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/28/2016	4/5/2016
Active	Homesite Insurance Company	301139	Agent - Personal Lines	10/18/2024
Active	Homesite Insurance Company of the Midwest	874850	Agent - Personal Lines	10/18/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	12/10/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	12/10/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/28/2016	4/5/2016
Inactive	Humana Insurance Company	301104	Agent - Health	9/22/2008	12/10/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/28/2016	4/5/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	12/10/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/1/2011	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/28/2011	10/22/2015
Inactive	Nutmeg Insurance Company	751698	Agent - Personal Lines	7/7/2022	9/28/2022
Inactive	Trumbull Insurance Company	300242	Agent - Personal Lines	1/11/2019	9/28/2022
Inactive	Twin City Fire Insurance Company	300721	Agent - Personal Lines	1/11/2019	9/28/2022

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 - Health	4/2/2009	12/10/2015