DEPARTMENT OF INSURANCE

Affiliations

Name	Carpenter, Shannon	DOIID	710487	NAIC NPN	14601308

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	8/14/2009	12/31/2026
Active	Resident	Agent	Life	6/9/2010	12/31/2026
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	4/19/2021
Inactive	Accordia Life and Annuity Company	502966	Agent - Life	2/3/2022	4/19/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/19/2021
Active	American Equity Investment Life Insurance Company	300389	Agent - Life	7/22/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/14/2009	10/4/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/9/2010	10/4/2013
Inactive	American General Life Insurance Company	301585	Agent - Health	2/24/2021	12/20/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	2/24/2021	12/20/2023
Active	American Life & Security Corp	1055058	Agent - Life	9/11/2024
Active	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	6/7/2021
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	11/9/2022
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	7/8/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/25/2023
Active	Aspida Life Insurance Company	301934	Agent - Life	9/26/2024
Active	Athene Annuity and Life Company	301893	Agent - Life	7/19/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/24/2023	2/17/2025
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	8/11/2017	9/18/2017
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	8/11/2017	9/18/2017
Inactive	Combined Insurance Company of America	301472	Agent - Health	2/9/2015	5/12/2021
Inactive	Combined Insurance Company of America	301472	Agent - Life	2/9/2015	5/12/2021
Inactive	Continental American Insurance Company	301700	Agent - Health	10/10/2011	11/27/2013
Inactive	Continental American Insurance Company	301700	Agent - Life	10/10/2011	11/27/2013
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/19/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/19/2021
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/22/2022
Active	Forethought Life Insurance Company	301407	Agent - Health	5/5/2025
Active	Forethought Life Insurance Company	301407	Agent - Life	5/5/2025
Inactive	Great Western Insurance Company	501693	Agent - Life	3/4/2023	9/12/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/25/2023
Inactive	Independent Order of Foresters	300743	Agent - Health	11/8/2021	12/18/2023
Inactive	Independent Order of Foresters	300743	Agent - Life	3/11/2024	12/24/2024
Active	Investors Heritage Life Insurance Company	300363	Agent - Life	9/8/2024
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	5/28/2021	10/26/2024
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	5/28/2021	10/26/2024
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	11/8/2022	12/20/2024
Active	Life Insurance Company of the Southwest	301867	Agent - Health	1/11/2023
Active	Life Insurance Company of the Southwest	301867	Agent - Life	3/3/2022
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	10/17/2014	11/25/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/7/2021	6/22/2022
Active	North American Company for Life and Health Insurance	300291	Agent - Life	2/2/2022
Active	Royal Neighbors of America	301646	Agent - Life	9/15/2022
Active	S.USA Life Insurance Company, Inc.	301774	Agent - Health	3/15/2021
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	3/15/2021	1/13/2025
Active	SILAC Insurance Company	300535	Agent - Life	12/23/2024
Active	Security Benefit Life Insurance Company	300583	Agent - Life	8/19/2024
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	9/23/2022
Active	Transamerica Life Insurance Company	300571	Agent - Health	1/29/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	1/29/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/29/2020	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/29/2020	10/1/2020
Active	United Home Life Insurance Company	300421	Agent - Life	2/2/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/16/2021	6/23/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/16/2021	6/23/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/24/2023	2/17/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/24/2023	2/17/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Thomas A Morris & Assoc Inc	756631	Agent - Health	8/2/2017	2/27/2019
Inactive	Thomas A Morris & Assoc Inc	756631	Agent - Life	8/2/2017	2/27/2019