DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carter, Lashay	DOIID	636329	NAIC NPN	8802271

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/4/2013	8/31/2016
Inactive	Non Resident	Agent	Life	10/4/2013	8/31/2016
* 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	CIGNA Health & Life Insurance Company	301783	Agent - Health	1/23/2014	4/16/2015
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	1/23/2014	4/16/2015
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	5/21/2009	8/31/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Extend Insurance Services, LLC	625753	Agent - Life
Denied	Extend Insurance Services, LLC	625753	Agent - Health