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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2026	12/31/2026

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
Inactive	Accendo Insurance Company	300312	Agent - Life	4/19/2021	12/19/2025
Inactive	Accordia Life and Annuity Company	502966	Agent - Life	2/3/2022	4/19/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/19/2021	12/19/2025
Active	AmFirst Insurance Company	999525	Agent - Life	8/21/2025
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
Active	American General Life Insurance Company	301585	Agent - Health	5/29/2026
Active	American General Life Insurance Company	301585	Agent - Life	5/29/2026
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
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/19/2021	12/19/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/19/2021	12/19/2025
Active	EquiTrust Life Insurance Company	502870	Agent - Life	4/2/2026
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/22/2022
Inactive	Forethought Life Insurance Company	301407	Agent - Health	5/5/2025	12/15/2025
Inactive	Forethought Life Insurance Company	301407	Agent - Life	5/5/2025	12/15/2025
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
Active	Independent Order of Foresters	300743	Agent - Life	1/19/2026
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	Oceanview Life and Annuity Company	301868	Agent - Life	1/20/2026
Active	Royal Neighbors of America	301646	Agent - Life	9/15/2022
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Health	3/15/2021	12/5/2025
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
Active	United of Omaha Life Insurance Company	300156	Agent - Health	8/28/2025
Active	United of Omaha Life Insurance Company	300156	Agent - Life	8/28/2025
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