DEPARTMENT OF INSURANCE

Affiliations

Name	Carpenter, Sandra Lee	DOIID	562192	NAIC NPN	7486366

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/23/2016	10/31/2019
Inactive	Non Resident	Agent	Health	8/23/2016	10/31/2019
Inactive	Non Resident	Agent	Property	12/23/2002	10/31/2005
Inactive	Non Resident	Agent	Casualty	12/23/2002	10/31/2005
* 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	1/4/2017	10/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/4/2017	10/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/4/2017	10/31/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/4/2016	12/20/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/4/2016	12/20/2017
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	1/4/2017	10/31/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	2/3/2017	10/31/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/26/2016	4/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/26/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/26/2016	4/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/26/2016	4/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	9/26/2016	4/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/26/2016	4/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/10/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/2/2017	1/30/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/28/2017	3/8/2019
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	1/24/2003	8/9/2004
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	1/24/2003	8/9/2004
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	1/24/2003	8/9/2004
Inactive	USAA General Indemnity Company	300131	Agent - Property	1/24/2003	8/9/2004
Inactive	United Services Automobile Association	300158	Agent - Casualty	12/23/2002	8/9/2004
Inactive	United Services Automobile Association	300158	Agent - Property	12/23/2002	8/9/2004
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/22/2017	12/18/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	2/22/2017	12/18/2017
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/22/2017	12/18/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/9/2016	12/21/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/9/2016	12/21/2017