DEPARTMENT OF INSURANCE

Affiliations

Name	Carroll, Jon Phillip	DOIID	673868	NAIC NPN	10287778

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	4/2/2008	11/30/2025
Active	Resident	Agent	Life	4/2/2008	11/30/2025
* 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
Active	All Savers Insurance Company	301940	Agent - Health	3/30/2012
Active	All Savers Insurance Company	301940	Agent - Life	6/4/2015
Active	American United Life Insurance Company	300498	Agent - Health	9/7/2021
Active	American United Life Insurance Company	300498	Agent - Life	9/7/2021
Active	Citizens Security Life Insurance Company	301257	Agent - Health	6/10/2009
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/28/2015	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/18/2019	12/15/2020
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/18/2009	7/2/2013
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Active	Dental Care Plus Inc.	301495	Agent - Health	11/19/2009
Active	Dental Concern Inc. (The)	301641	Agent - Health	6/4/2010
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	2/29/2016
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	2/29/2016
Active	Guardian Life Insurance Company of America	301316	Agent - Health	6/11/2019
Active	Guardian Life Insurance Company of America	301316	Agent - Life	6/11/2019
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/25/2011
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/25/2011
Inactive	Health Resources Inc.	301210	Agent - Health	7/3/2014	12/31/2014
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/31/2020
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/31/2020
Active	Humana Health Plan, Inc.	300142	Agent - Health	6/4/2010
Active	Humana Insurance Company	301104	Agent - Health	6/4/2010
Active	Humana Insurance Company	301104	Agent - Life	6/4/2010
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	12/30/2020
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	12/30/2020
Active	Humana Medical Plan, Inc.	801568	Agent - Health	12/31/2020
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/31/2020
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/21/2009	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/21/2009	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/4/2010	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/4/2010	8/9/2018
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/24/2013	10/29/2015
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/11/2018
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/11/2018
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	3/7/2019
Active	Metropolitan Life Insurance Company	301948	Agent - Health	1/21/2015
Active	Metropolitan Life Insurance Company	301948	Agent - Life	1/21/2015
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	9/22/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	9/22/2023
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	6/1/2012
Active	Starmount Life Insurance Company	628031	Agent - Health	9/22/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Health	9/22/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Life	9/22/2023
Inactive	Unimerica Insurance Company	563724	Agent - Health	6/5/2009	12/15/2009
Inactive	Unimerica Insurance Company	563724	Agent - Life	6/5/2009	12/15/2009
Active	United of Omaha Life Insurance Company	300156	Agent - Health	10/31/2012
Active	United of Omaha Life Insurance Company	300156	Agent - Life	10/31/2012
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	12/4/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	12/4/2023
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/4/2023
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	12/4/2023
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/4/2023
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	12/4/2023
Active	Unum Insurance Company	301499	Agent - Health	9/22/2023
Active	Unum Insurance Company	301499	Agent - Life	9/22/2023
Active	Vision Service Plan Insurance Company	300526	Agent - Health	10/5/2022

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	1/20/2010	9/18/2018
Active	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013
Active	Houchens Insurance Group, Inc.	637099	Agent - Life	10/8/2008
Active	Houchens Insurance Group, Inc.	637099	Agent - Health	10/8/2008