DEPARTMENT OF INSURANCE

Affiliations

Name	Tasillo, Carolyn Kaeser	DOIID	636571	NAIC NPN	8396144

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/25/2006	8/31/2013
Inactive	Non Resident	Agent	Health	7/25/2006	8/31/2013
* 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.	300694	Agent - Health	8/24/2006	9/25/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/6/2008	8/31/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/6/2008	8/31/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/24/2006	8/31/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	11/2/2006	12/22/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	11/2/2006	12/22/2011
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	3/26/2010	8/31/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	1/6/2010	8/31/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	1/6/2010	8/31/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/23/2007	7/10/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	11/2/2006	9/10/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	11/2/2006	9/10/2013
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	10/8/2009	11/16/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	10/8/2009	11/16/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/11/2007	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Health	1/11/2007	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Life	1/11/2007	7/10/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/7/2011	7/10/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/7/2011	7/10/2013
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/2/2008	10/6/2011
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/2/2008	10/6/2011
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/12/2009	8/31/2013
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/12/2009	8/31/2013
Inactive	Principal Life Insurance Company	300129	Agent - Health	9/12/2006	11/25/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	9/12/2006	11/25/2009
Inactive	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	8/20/2010	8/31/2013
Inactive	Renaissance Life & Health Insurance Company of America	301447	Agent - Life	8/20/2010	8/31/2013
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	10/14/2009	8/22/2011
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	10/14/2009	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	10/14/2009	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	10/14/2009	8/22/2011
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	3/5/2008	1/7/2013
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	3/5/2008	1/7/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/26/2006	12/15/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/26/2006	12/15/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/26/2006	12/15/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/26/2006	12/15/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	11/9/2009	8/31/2013
Inactive	MDM Covenant Ins LLC	729124	Agent - Health	7/23/2011	2/14/2013
Inactive	MDM Covenant Ins LLC	729124	Agent - Life	7/23/2011	2/14/2013
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	2/7/2008	6/6/2011
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	2/7/2008	6/6/2011