DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Given, Carole Joan	DOIID	382358	NAIC NPN	1640908

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/13/2009	2/1/2011
Inactive	Resident	Agent	Health	3/13/2009	2/1/2011
* 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	AF&L Insurance Company	301582	Agent - Health	6/19/2003	12/1/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	6/26/2003
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	6/26/2003
Inactive	Continental General Insurance Company	300691	Agent - Health	6/18/2001	11/19/2002
Inactive	Continental General Insurance Company	300691	Agent - Life	6/18/2001	11/19/2002
Inactive	Gerber Life Insurance Company	300529	Agent - Health	1/19/2010	2/1/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Life	1/19/2010	2/1/2011
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	2/23/1996	3/31/1997
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	2/23/1996	3/31/1997
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/17/2007	2/1/2009
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	9/4/1997	6/19/2001
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	9/4/1997	6/19/2001
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	10/1/1996	4/29/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	10/1/1996	4/29/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	9/17/1985	11/19/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	9/17/1985	11/19/2003
Inactive	United World Life Insurance Company	300532	Agent - Health	1/17/2007	2/1/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/12/2008	2/1/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/12/2008	2/1/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornerstone Senior Services LLC	399590	Agent - Life	2/23/1996	11/19/1996
Inactive	Cornerstone Senior Services LLC	399590	Agent - Health	2/23/1996	11/19/1996
Inactive	Family Health & Retirement Services Inc.	399792	Agent - Life	8/26/1987	1/5/1996
Inactive	Family Health & Retirement Services Inc.	399792	Agent - Health	8/26/1987	1/5/1996
Inactive	Frank Bradshaw Co	399179	Agent - Life	12/7/1992	1/5/1996
Inactive	Frank Bradshaw Co	399179	Agent - Health	12/7/1992	1/5/1996