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	Inactive Date
Inactive	Non Resident	Agent	Life	5/16/2023	7/31/2025
Inactive	Non Resident	Agent	Health	10/2/2020	7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/2/2021	7/31/2025
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
Inactive	American General Life Insurance Company	301585	Agent - Health	9/27/2024	7/31/2025
Inactive	American General Life Insurance Company	301585	Agent - Life	9/27/2024	7/31/2025
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
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/2/2021	7/31/2025
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	6/29/2024	7/31/2025
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
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/12/2023	7/31/2025
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
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/16/2023	9/1/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/19/2024	9/1/2025
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