DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brown Williams, Carmen	DOIID	795035	NAIC NPN	16319210

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/18/2012	12/31/2022
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/12/2016	12/31/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/14/2015	12/2/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/19/2015	3/23/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/19/2015	3/23/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/23/2015	1/4/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/30/2017	6/8/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/30/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	1/19/2015	3/23/2016
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/30/2017	6/8/2018
Inactive	Independence American Insurance Company	524747	Agent - Health	11/14/2014	12/18/2020
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	11/13/2014	12/4/2020
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	2/16/2017	12/31/2022
Inactive	National Health Insurance Company	300554	Agent - Health	12/11/2019	12/31/2022
Inactive	Omaha Insurance Company	751908	Agent - Health	8/28/2017	8/8/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/25/2012	4/27/2015
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	11/13/2014	12/26/2018
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/23/2015	11/4/2016

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 - Health	8/12/2016	12/31/2022