DEPARTMENT OF INSURANCE

Affiliations

Name	Carlson, Shannon Michelle	DOIID	680829	NAIC NPN	9893724

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/6/2024		11/30/2027
Inactive	Non Resident	Agent	Life	5/16/2008	11/30/2011
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/18/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	11/2/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/18/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	8/18/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/9/2021	11/30/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/9/2021	11/30/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/27/2008	12/3/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	5/27/2008	12/3/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	5/27/2008	12/3/2010
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/2/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/3/2010
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/16/2020	1/8/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/27/2008	12/3/2010
Inactive	Humana Insurance Company	301104	Agent - Health	5/27/2008	12/3/2010
Inactive	Humana Insurance Company	301104	Agent - Life	5/27/2008	12/3/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/27/2008	12/3/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/27/2008	12/3/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/28/2010	12/3/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/28/2010	12/3/2010
Active	SilverScript Insurance Company	663526	Agent - Health	8/18/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/7/2020	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/7/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	4/2/2009	12/3/2010
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/2/2009	12/3/2010