DEPARTMENT OF INSURANCE

Affiliations

Name	Carson, Shane Thomas	DOIID	810888	NAIC NPN	8486374

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Personal Lines	6/28/2018	4/30/2025
Pending Replacement	Non Resident	Agent	Health	8/22/2016	4/30/2025
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/9/2017	7/8/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/11/2017	1/2/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/9/2017	7/8/2021
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Personal Lines	4/1/2020	5/8/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/24/2017	12/20/2017
Inactive	Bristol West Insurance Company	301655	Agent - Personal Lines	12/1/2018	1/14/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/11/2017	1/2/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/9/2017	7/8/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	3/5/2019	12/28/2024
Inactive	Homesite Insurance Company	301139	Agent - Personal Lines	7/4/2018	8/22/2023
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Personal Lines	7/4/2018	8/22/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/6/2017	12/19/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/6/2017	12/19/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/6/2017	12/19/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/23/2017	12/19/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/6/2017	12/19/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/6/2017	12/19/2017
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	8/10/2017	1/30/2018
Inactive	Midvale Indemnity Company	300292	Agent - Personal Lines	1/11/2022	8/22/2023
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	8/22/2016	1/11/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/24/2017	12/18/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/24/2017	12/18/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/22/2016	12/21/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/24/2017	12/18/2017

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	8/24/2017	12/21/2017