DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Evans, Carlton James	DOIID	686722	NAIC NPN	3645020

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/3/2015	9/30/2022
Inactive	Non Resident	Agent	Casualty	8/11/2008	2/16/2012
Inactive	Non Resident	Agent	Health	7/3/2015	9/30/2022
Inactive	Non Resident	Agent	Property	8/11/2008	2/16/2012
* 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	American General Life Insurance Company	301585	Agent - Health	7/3/2015	5/25/2021
Inactive	American General Life Insurance Company	301585	Agent - Life	7/3/2015	5/25/2021
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	2/23/2009	2/16/2012
Inactive	Encompass Indemnity Company	546376	Agent - Property	2/23/2009	2/16/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	12/20/2010	2/16/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Property	12/20/2010	2/16/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	4/22/2020	9/28/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/22/2020	9/28/2022
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	7/10/2015	3/19/2021
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	7/10/2015	3/19/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	8/20/2019	4/12/2022
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/15/2015	4/21/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	4/7/2016	9/30/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/7/2016	9/30/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/13/2016	3/19/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/13/2016	3/19/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Omni Underwriting Managers LLC	630189	Agent - Property	6/11/2009	10/24/2011
Inactive	Omni Underwriting Managers LLC	630189	Agent - Casualty	6/11/2009	10/24/2011