DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Guillaume, Carl	DOIID	692679	NAIC NPN	8725527

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/3/2008	2/28/2019
Inactive	Non Resident	Agent	Life	11/3/2008	2/28/2019
* 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 Medical and Life Insurance Company	301598	Agent - Health	1/7/2009	6/14/2012
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/22/2017	6/6/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/22/2011	11/20/2017
Inactive	Companion Life Insurance Company	300191	Agent - Health	2/9/2011	6/6/2012
Inactive	Companion Life Insurance Company	300191	Agent - Life	4/5/2011	6/6/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/22/2011	11/20/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	11/20/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/22/2011	6/6/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/22/2011	2/28/2019
Inactive	Humana Insurance Company	301104	Agent - Life	8/22/2011	2/28/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/22/2011	2/28/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/22/2011	2/28/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	11/20/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	11/20/2017
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/16/2011	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/16/2011	2/22/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/11/2017	11/20/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/11/2017	11/20/2017

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	9/19/2011	2/28/2019
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	9/19/2011	2/28/2019