DEPARTMENT OF INSURANCE

Affiliations

Name	Fjellstedt, Sean Carson	DOIID	759252	NAIC NPN	14830250

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/9/2021	6/30/2027
Active	Non Resident	Agent	Health	7/9/2021	6/30/2027
* 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	04/15/2025	06/30/2025	06/04/2025	06/04/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/3/2011	6/24/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/3/2011	6/24/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/3/2011	6/24/2015
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/8/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/8/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/8/2023	4/15/2025
Active	CareSource Kentucky Co.	838179	Agent - Health	7/28/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	9/15/2022	1/6/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/15/2022	1/6/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/10/2012	12/4/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/28/2016	8/25/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/4/2012	6/24/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/10/2021	12/13/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/10/2021	12/14/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/28/2016	8/25/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/28/2016	8/25/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/28/2016	8/25/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/28/2016	8/25/2017
Inactive	Humana Insurance Company	301104	Agent - Life	10/28/2016	8/25/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/28/2016	8/25/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/28/2016	8/25/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/28/2016	8/25/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/28/2016	8/25/2017
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	9/13/2012	12/18/2013
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	1/17/2017	4/10/2017
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	10/5/2011	1/31/2013
Active	S.USA Life Insurance Company, Inc.	301774	Agent - Health	4/15/2022
Active	S.USA Life Insurance Company, Inc.	301774	Agent - Life	2/15/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/1/2011	6/24/2015
Inactive	Sterling Life Insurance Company	301947	Agent - Health	9/22/2011	12/2/2013
Inactive	Sterling Life Insurance Company	301947	Agent - Life	9/22/2011	12/2/2013
Active	Tier One Insurance Company	301056	Agent - Health	10/3/2022
Active	Tier One Insurance Company	301056	Agent - Life	10/3/2022
Inactive	Unified Life Insurance Company	543169	Agent - Health	8/16/2022	4/29/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/29/2011	2/18/2015
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	3/25/2015	7/14/2015
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	3/25/2015	7/14/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/29/2011	2/18/2015
Inactive	Washington National Insurance Company	300587	Agent - Health	9/16/2011	1/30/2014
Inactive	Washington National Insurance Company	300587	Agent - Life	9/16/2011	1/30/2014
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	7/25/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Choice Quote Insurance Group LLC	1173756	Agent - Health	11/22/2021	3/31/2023
Inactive	Choice Quote Insurance Group LLC	1173756	Agent - Life	11/22/2021	3/31/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/16/2015	9/14/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	3/16/2015	9/14/2015
Active	Omnia Insurance Group	1404712	Agent - Health	6/10/2025
Active	Omnia Insurance Group	1404712	Agent - Life	6/10/2025
Active	Ratequote Direct LLC	1214150	Agent - Health	6/30/2022
Active	Ratequote Direct LLC	1214150	Agent - Life	6/30/2022
Active	Ratequote.com LLC	1171930	Agent - Health	9/13/2023
Active	Ratequote.com LLC	1171930	Agent - Life	9/13/2023