DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Carlos M	DOIID	1074873	NAIC NPN	19070371

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/30/2022		10/31/2025
* 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	08/15/2025	10/31/2025

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	9/16/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/16/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	9/16/2022
Active	American General Life Insurance Company	301585	Agent - Health	9/2/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/28/2020	8/14/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/31/2023	3/5/2024
Inactive	CompBenefits Insurance Company	301864	Agent - Health	5/31/2023	3/5/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/23/2023	3/5/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/23/2023	3/5/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/4/2024	3/5/2024
Inactive	Humana Insurance Company	301104	Agent - Health	5/31/2023	3/5/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/31/2023	3/5/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/23/2023	3/5/2024
Active	SilverScript Insurance Company	663526	Agent - Health	9/16/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/19/2020	8/24/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	2/19/2020	8/24/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/19/2020	8/24/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/19/2020	8/24/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/26/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/26/2020	12/31/2021

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 - Health	7/25/2023	3/14/2024