DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carli, Selena Ann	DOIID	722454	NAIC NPN	15658065

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/1/2010	12/1/2013
Inactive	Resident	Agent	Health	2/26/2010	12/1/2013
* 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
Denied	Anthem Life Insurance Company	301209	Agent - Health
Denied	Anthem Life Insurance Company	301209	Agent - Life
Inactive	Athene Annuity and Life Company	301893	Agent - Life	3/4/2011	4/14/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/29/2012	10/22/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/15/2011	12/1/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/22/2010	12/1/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/23/2012	12/1/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/23/2012	12/1/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/29/2012	10/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/29/2012	10/22/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/26/2010	12/1/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/26/2010	12/1/2013