DEPARTMENT OF INSURANCE
Affiliations
NameCarpenter, La Tiera MaryDOIID1040709NAIC NPN18234799
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife5/16/2019 11/30/2025
ActiveNon ResidentAgentHealth5/16/2019 11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202511/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health10/4/202211/17/2023
ActiveAccendo Insurance Company300312Agent - Life10/4/2022 
ActiveAetna Health Inc. (PA)660717Agent - Health8/19/2019 
ActiveAetna Health and Life Insurance Company300523Agent - Health9/19/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/28/2020 
ActiveAetna Life Insurance Company301140Agent - Health8/19/2019 
InactiveAmerican Continental Insurance Company643130Agent - Life7/1/20198/11/2021
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/19/2023 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health3/19/202312/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health3/19/2023 
InactiveAnthem Life Insurance Company301209Agent - Health6/22/201911/9/2021
InactiveAnthem Life Insurance Company301209Agent - Life6/22/201911/9/2021
ActiveArcadian Health Plan, Inc.728196Agent - Health6/26/2024 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/23/2022 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health3/19/2023 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health9/19/2022 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life10/4/2022 
InactiveDental Concern Inc. (The)301641Agent - Health7/22/201912/15/2020
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health7/24/2024 
InactiveElips Life Insurance Company301087Agent - Health8/5/20221/23/2025
ActiveHealthSpring Life and Health Insurance Company, Inc.684899Agent - Health5/24/2025 
ActiveHealthspring Healthcare of Colorado, Inc.1098153Agent - Health5/24/2025 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health2/15/20225/20/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health2/3/20225/20/2022
InactiveHumana Insurance Company301104Agent - Health9/10/201911/5/2021
InactiveLumico Life Insurance Company300354Agent - Life5/16/20198/22/2023
InactiveMEMBERS Life Insurance Company301289Agent - Life2/11/202111/8/2021
ActiveMedco Containment Life Insurance Company301557Agent - Health5/23/2025 
ActiveMedico Corp Life Insurance Company301777Agent - Health5/20/2025 
ActiveMedico Corp Life Insurance Company301777Agent - Life5/20/2025 
ActiveMedico Insurance Company301559Agent - Health2/8/2024 
ActiveMedico Insurance Company301559Agent - Life2/8/2024 
ActiveNational Health Insurance Company300554Agent - Health7/24/2024 
ActiveNational Health Insurance Company300554Agent - Life7/24/2024 
ActiveSilverScript Insurance Company663526Agent - Health8/19/2019 
ActiveTier One Insurance Company301056Agent - Health3/23/2023 
ActiveTier One Insurance Company301056Agent - Life3/23/2023 
InactiveUnited States Fire Insurance Company582240Agent - Health7/19/202212/27/2023
InactiveUnited World Life Insurance Company300532Agent - Health7/18/201911/1/2020
ActiveUnitedHealthcare Insurance Company300946Agent - Health7/14/2022 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health7/14/202212/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/4/20196/29/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/14/2022 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/24/2019 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health10/24/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life6/23/201912/21/2022
InactiveDesignated Agent Company Inc.681257Agent - Health6/23/201912/21/2022

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