DEPARTMENT OF INSURANCE

Affiliations

Name	Carnohan, Derek David	DOIID	317580	NAIC NPN	2336334

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	4/26/2007		1/31/2025
Active	Resident	Agent	Life	4/26/2007		1/31/2025
Active	Resident	Agent	Variable Life and Variable Annuities	4/26/2007		1/31/2025
Inactive	Resident	Agent	Health Maintenance Organization	4/13/1999	3/1/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Inactive	Aetna Health Inc.	300694	Agent - Health	3/1/2001	1/31/2007
Inactive	Aetna Health Inc.	300694	Agent - Health Maintenance Organization	6/24/1999	3/1/2001
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/18/2008
Active	Aetna Health Insurance Company	301583	Agent - Health	9/30/2014
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/18/2008
Active	Aetna Life Insurance Company	301140	Agent - Life	9/18/2008
Active	All Savers Insurance Company	301940	Agent - Health	5/10/2023
Active	All Savers Insurance Company	301940	Agent - Life	5/10/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/26/2007	2/15/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/26/2007	2/15/2011
Inactive	American General Life Insurance Company	301585	Agent - Health	10/1/2008	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	10/1/2008	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	10/1/2008	10/25/2012
Active	American United Life Insurance Company	300498	Agent - Health	11/30/2011
Active	American United Life Insurance Company	300498	Agent - Life	11/30/2011
Inactive	American United Life Insurance Company	300498	Agent - Variable Life and Variable Annuities	3/27/2002	1/31/2007
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	10/2/2017
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	10/10/2001	1/31/2007
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/24/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/29/1999	1/31/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/29/1999	1/31/2007
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	3/15/2018
Inactive	Assurity Life Insurance Company	301099	Agent - Health	5/6/2013	12/8/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Life	5/6/2013	12/8/2014
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	7/29/1999	8/16/2001
Inactive	Augustar Life Insurance Company	301816	Agent - Life	7/29/1999	8/16/2001
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/23/2012	12/5/2016
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/9/2011	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/9/2011	10/12/2020
Active	Brighthouse Life Insurance Company	301829	Agent - Health	4/5/2017
Active	Brighthouse Life Insurance Company	301829	Agent - Life	4/5/2017
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/18/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	10/27/1998	1/31/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	10/27/1998	1/31/2007
Active	Cigna Healthcare of Colorado, Inc.	1098153	Agent - Health	10/20/2022
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/2/2009	12/21/2012
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/2/2009	12/21/2012
Active	Combined Insurance Company of America	301472	Agent - Health	5/4/2023
Active	Combined Insurance Company of America	301472	Agent - Life	5/4/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/11/2016	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/11/2008	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/11/2008	7/2/2013
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/10/2008	10/1/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/10/2008	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Health	9/10/2008	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	9/10/2008	10/1/2010
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/3/2021
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	12/13/2013
Active	Dental Care Plus Inc.	301495	Agent - Health	1/15/2017
Active	Dental Concern Inc. (The)	301641	Agent - Health	11/24/2021
Active	Essence Healthcare, Inc.	657425	Agent - Health	10/28/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	6/3/2013	12/14/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	6/3/2013	12/14/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Variable Life and Variable Annuities	10/24/2008	11/13/2012
Active	First Health Life & Health Insurance Company	301735	Agent - Health	9/30/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Life	3/8/2004	1/31/2007
Inactive	General American Life Insurance Company	300280	Agent - Health	6/6/2001	1/31/2007
Inactive	General American Life Insurance Company	300280	Agent - Life	6/6/2001	1/31/2007
Inactive	General American Life Insurance Company	300280	Agent - Variable Life and Variable Annuities	6/6/2001	12/28/2006
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	2/7/2011	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	2/7/2011	12/14/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Health	6/8/2015	3/28/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Life	6/8/2015	3/28/2016
Active	Golden Rule Insurance Company	301943	Agent - Health	2/22/2023
Active	Golden Rule Insurance Company	301943	Agent - Life	2/22/2023
Inactive	Grange Life Insurance Company	300128	Agent - Health	3/25/2014	12/22/2016
Inactive	Grange Life Insurance Company	300128	Agent - Life	3/25/2014	12/22/2016
Active	Guardian Life Insurance Company of America	301316	Agent - Health	12/9/2011
Active	Guardian Life Insurance Company of America	301316	Agent - Life	12/9/2011
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/21/2009
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/21/2009
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/15/2018
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/18/2018
Active	Humana Health Plan, Inc.	300142	Agent - Health	3/15/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/13/1999	3/1/2001
Active	Humana Insurance Company	301104	Agent - Health	3/15/2018
Active	Humana Insurance Company	301104	Agent - Life	3/15/2018
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	3/15/2018
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	3/15/2018
Active	Humana Medical Plan, Inc.	801568	Agent - Health	3/15/2018
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	3/15/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	8/8/2007	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	8/8/2007	5/13/2013
Inactive	Independent Order of Foresters	300743	Agent - Health	9/21/2006	1/31/2007
Inactive	Independent Order of Foresters	300743	Agent - Life	9/21/2006	1/31/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/19/2018	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/19/2018	8/9/2018
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	3/3/2014	10/29/2015
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	6/10/1999	1/20/2003
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	6/10/1999	1/20/2003
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	2/28/2024
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	2/28/2024
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	2/28/2024
Inactive	MetLife Investors Insurance Company	301872	Agent - Health	1/24/2005	1/31/2007
Inactive	MetLife Investors Insurance Company	301872	Agent - Life	1/24/2005	1/31/2007
Inactive	MetLife Investors Insurance Company	301872	Agent - Variable Life and Variable Annuities	1/24/2005	12/28/2006
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	1/24/2005	1/31/2007
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	1/24/2005	1/31/2007
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	1/24/2005	12/28/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/24/2011	12/14/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	3/24/2011	12/14/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Variable Life and Variable Annuities	3/24/2004	12/28/2006
Active	Minnesota Life Insurance Company	300488	Agent - Health	6/9/2022
Active	Minnesota Life Insurance Company	300488	Agent - Life	6/9/2022
Active	Minnesota Life Insurance Company	300488	Agent - Variable Life and Variable Annuities	6/9/2022
Inactive	Mutual of Omaha Medicare Advantage Company	979434	Agent - Health	12/19/2018	4/28/2021
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	4/20/2004	12/29/2004
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	4/20/2004	12/29/2004
Inactive	New England Life Insurance Company	300343	Agent - Health	10/27/1998	1/31/2007
Inactive	New England Life Insurance Company	300343	Agent - Life	10/27/1998	1/31/2007
Inactive	New England Life Insurance Company	300343	Agent - Variable Life and Variable Annuities	5/31/2001	12/28/2006
Inactive	New York Life Insurance Company	300431	Agent - Health	9/10/2012	12/18/2017
Inactive	New York Life Insurance Company	300431	Agent - Life	9/10/2012	12/18/2017
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	3/23/2001	2/8/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	7/23/1999	12/11/2002
Inactive	Pacific Life Insurance Company	301848	Agent - Life	8/26/2020	12/10/2022
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	11/25/1998	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	11/25/1998	8/24/2000
Active	Protective Life Insurance Company	300638	Agent - Health	8/11/2021
Active	Protective Life Insurance Company	300638	Agent - Life	8/11/2021
Active	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	8/11/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/19/2002	1/31/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/19/2002	1/31/2007
Inactive	Pruco Life Insurance Company	300954	Agent - Health	5/1/2009	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/20/2021	12/21/2022
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	5/29/2011
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	5/29/2011
Active	SilverScript Insurance Company	663526	Agent - Health	4/18/2017
Inactive	Standard Insurance Company	300185	Agent - Health	1/19/2007	1/31/2007
Inactive	Standard Insurance Company	300185	Agent - Life	1/19/2007	1/31/2007
Active	Superior Dental Care Inc.	300418	Agent - Health	10/1/2015
Inactive	Time Insurance Company	300683	Agent - Health	6/12/2014	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	6/12/2014	12/20/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/15/1999	1/31/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/15/1999	1/31/2007
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	9/16/1999	2/20/2001
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	9/16/1999	2/20/2001
Inactive	Union Security Insurance Company	301844	Agent - Health	3/23/1999	11/22/2002
Inactive	United World Life Insurance Company	300532	Agent - Health	1/3/2022	11/22/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/2/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	5/9/2023
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/10/2023
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/10/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health Maintenance Organization	4/5/2000	3/1/2001
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015
Active	Washington National Insurance Company	300587	Agent - Health	7/29/2011
Active	Washington National Insurance Company	300587	Agent - Life	7/29/2011
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/4/2019
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/11/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/11/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	4/22/1999	3/12/2004
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/22/1999	3/12/2004
Active	CBISA Reaquisitian Corp	547026	Agent - Life	12/7/2011
Active	CBISA Reaquisitian Corp	547026	Agent - Health	12/7/2011
Active	Dental Choice Agency Inc.	398085	Agent - Health	10/19/2023
Active	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013
Inactive	National Benefits Agency, Inc.	539396	Agent - Life	3/26/2003	2/5/2007
Inactive	National Benefits Agency, Inc.	539396	Agent - Health	3/26/2003	2/5/2007
Active	National Benefits Brokerage, LLC	615215	Agent - Life	11/9/2009
Active	National Benefits Brokerage, LLC	615215	Agent - Health	11/9/2009
Active	Planchoice Inc.	400482	Agent - Life	6/6/2014
Active	Planchoice Inc.	400482	Agent - Health	6/6/2014