DEPARTMENT OF INSURANCE

Affiliations

Name	Shappelle, Carla Jean	DOIID	750070	NAIC NPN	16166547

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	3/16/2011	10/31/2026
Active	Non Resident	Agent	Health	3/16/2011	10/31/2026
* 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	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/2/2018
Inactive	American Continental Insurance Company	643130	Agent - Life	5/2/2018	8/11/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/15/2011	12/15/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/15/2011	12/15/2012
Inactive	Columbus Life Insurance Company	301227	Agent - Health	6/8/2011	5/24/2013
Inactive	Columbus Life Insurance Company	301227	Agent - Life	4/12/2018	11/7/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/8/2011	12/10/2012
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/2/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/8/2011	12/10/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	12/12/2022	10/22/2025
Inactive	Gerber Life Insurance Company	300529	Agent - Life	12/12/2022	10/22/2025
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/8/2011	12/10/2012
Inactive	Humana Insurance Company	301104	Agent - Health	6/3/2011	12/10/2012
Inactive	Humana Insurance Company	301104	Agent - Life	6/3/2011	12/10/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/8/2011	12/10/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/8/2011	12/10/2012
Inactive	Integrity Life Insurance Company	301687	Agent - Life	10/15/2015	11/6/2025
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/8/2011	12/10/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/8/2011	12/10/2012
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	10/10/2018	11/7/2025
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	10/10/2018	11/7/2025
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/16/2012	6/19/2013
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	6/10/2011	11/5/2025
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	6/10/2011	11/5/2025
Inactive	Time Insurance Company	300683	Agent - Health	6/13/2011	6/18/2013
Inactive	Time Insurance Company	300683	Agent - Life	6/13/2011	6/18/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/10/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/10/2011	12/26/2012
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	6/6/2013	11/7/2025
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	6/6/2013	11/7/2025
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	6/6/2013	11/7/2025
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	6/6/2013	11/7/2025

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	6/15/2011	12/18/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/15/2011	12/18/2012