DEPARTMENT OF INSURANCE

Affiliations

Name	Shellhamer, Carolyn Marie	DOIID	335181	NAIC NPN	66962

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	5/7/2007	12/1/2022
Inactive	Resident	Agent	Health Maintenance Organization	3/9/1989	3/1/2001
Inactive	Resident	Agent	Life	5/7/2007	12/1/2022
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	8/13/2001	11/30/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	9/21/2001	11/30/2006
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	11/14/2001	1/26/2005
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	11/14/2001	1/26/2005
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/23/2002	11/30/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	2/19/2002	11/30/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	2/19/2002	11/30/2006
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	1/24/2002	4/26/2004
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/6/2009	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/6/2009	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/6/2009	7/2/2013
Inactive	Conseco Health Insurance Company	301725	Agent - Health	11/26/2001	10/14/2003
Inactive	Conseco Health Insurance Company	301725	Agent - Life	11/26/2001	10/14/2003
Inactive	Continental Casualty Company	301019	Agent - Health	7/16/2001	11/29/2004
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/8/2015
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Life	4/19/2002	1/1/2004
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	2/19/2002	11/30/2006
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	2/19/2002	11/30/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Health	6/3/2002	11/30/2006
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	12/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/8/2007	8/11/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/9/1989	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	6/8/2007	8/11/2016
Inactive	Humana Insurance Company	301104	Agent - Life	6/8/2007	8/11/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/8/2007	8/11/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/8/2007	8/11/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	12/8/2015
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	1/10/2002	11/30/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	1/10/2002	11/30/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	1/10/2002	12/14/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	1/10/2002	12/14/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/6/2009	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/6/2009	10/22/2015
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	10/15/2001	12/20/2004
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	10/15/2001	12/20/2004
Inactive	Midland National Life Insurance Company	300923	Agent - Life	4/26/2004	3/9/2005
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/8/2002	9/23/2003
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	10/28/2002	11/30/2006
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	10/28/2002	11/30/2006
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	11/30/2003	11/30/2006
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	12/16/2003	11/30/2006
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	9/25/2003	11/30/2006
Inactive	Protected Home Mutual Life Insurance Company	301399	Agent - Health	11/5/2001	11/30/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	1/1/2007
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	4/24/2002	11/30/2006
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	4/24/2002	11/30/2006
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	4/22/2002	11/30/2006
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	4/22/2002	10/1/2003
Inactive	Southland Life Insurance Company	301175	Agent - Life	4/22/2002	9/16/2004
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	11/16/2001	7/24/2006
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	11/16/2001	7/24/2006
Inactive	State Mutual Insurance Company	300359	Agent - Health	10/31/2001	12/2/2004
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	9/30/2002	2/2/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	7/24/2001	12/27/2006
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	9/21/2001	12/27/2006
Inactive	USG Annuity & Life Company	300457	Agent - Life	4/19/2002	1/1/2004
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	1/1/2004	11/30/2006
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	11/14/2001	11/30/2006
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	11/14/2001	11/30/2006
Inactive	West Coast Life Insurance Company	301607	Agent - Life	9/30/2003	12/22/2006
Inactive		300277	Agent - Life	11/12/2003	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthPoint Insurance and Investment Services, LLC	584134	Agent - Life	2/18/2004	11/30/2006
Inactive	HealthPoint Insurance and Investment Services, LLC	584134	Agent - Health	2/18/2004	11/30/2006
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	12/7/2001	2/4/2004
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	8/27/2001	2/4/2004
Inactive	Planchoice Inc.	400482	Agent - Life	3/5/2003	11/30/2006
Inactive	Planchoice Inc.	400482	Agent - Health	3/5/2003	11/30/2006