DEPARTMENT OF INSURANCE

Affiliations

Name	Evans, Carmen	DOIID	1102067	NAIC NPN	19177438

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/2/2020	7/31/2025
Active	Non Resident	Agent	Life	5/16/2023	7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/9/2020	3/17/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/2/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/9/2020	3/17/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/9/2020	3/17/2021
Active	American General Life Insurance Company	301585	Agent - Health	9/27/2024
Active	American General Life Insurance Company	301585	Agent - Life	9/27/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/23/2021	2/22/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	2/22/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	2/22/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021	2/22/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/2/2021
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	6/29/2024
Inactive	Independent Order of Foresters	300743	Agent - Health	7/28/2023	7/8/2024
Inactive	Independent Order of Foresters	300743	Agent - Life	7/28/2023	7/8/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/25/2021	8/27/2021
Active	Pruco Life Insurance Company	300954	Agent - Life	7/12/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/9/2020	3/17/2021
Inactive	United World Life Insurance Company	300532	Agent - Health	5/25/2021	8/27/2021
Active	United of Omaha Life Insurance Company	300156	Agent - Health	5/16/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Life	1/19/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/29/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/29/2020	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/22/2023	5/15/2024