DEPARTMENT OF INSURANCE
Affiliations
NameCarlson, Leif DanielDOIID883632NAIC NPN17560523
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife7/17/20154/30/2017 
Pending ReplacementNon ResidentAgentHealth9/28/2022 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementAetna Health Inc. (PA)660717Agent - Health10/5/2022 
Pending ReplacementAetna Health of Ohio Inc.1065035Agent - Health10/5/2022 
Pending ReplacementAetna Life Insurance Company301140Agent - Health10/5/2022 
InactiveAetna Life Insurance Company301140Agent - Life8/4/201511/19/2016
Pending ReplacementAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/28/2022 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/28/202212/19/2024
Pending ReplacementAnthem Insurance Companies, Inc.300941Agent - Health9/28/2022 
InactiveArcadian Health Plan, Inc.728196Agent - Health2/22/202312/12/2024
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/9/20246/20/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health4/16/201610/25/2016
Pending ReplacementCompcare Health Services Insurance Corporation948751Agent - Health9/28/2022 
InactiveCoventry Health and Life Insurance Company301771Agent - Health8/4/201511/19/2016
InactiveDental Concern Inc. (The)301641Agent - Health4/16/201610/25/2016
InactiveFirst Health Life & Health Insurance Company301735Agent - Health8/4/201511/19/2016
InactiveGolden Rule Insurance Company301943Agent - Health10/26/20165/5/2017
InactiveGolden Rule Insurance Company301943Agent - Life10/26/20165/5/2017
Pending ReplacementGuarantee Trust Life Insurance Company301043Agent - Health1/23/2025 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health7/20/201510/25/2016
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health7/20/201510/25/2016
InactiveHumana Health Plan, Inc.300142Agent - Health12/22/20166/14/2017
InactiveHumana Insurance Company301104Agent - Health8/24/202312/12/2024
InactiveHumana Insurance Company301104Agent - Life7/20/201510/25/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Health7/20/201510/25/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Life7/20/201510/25/2016
InactiveHumana Medical Plan, Inc.801568Agent - Health7/20/201510/25/2016
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/201610/25/2016
InactiveKanawha Insurance Company300127Agent - Health7/20/201510/22/2015
InactiveKanawha Insurance Company300127Agent - Life7/20/201510/22/2015
Pending ReplacementManhattanLife Insurance and Annuity Company301795Agent - Health7/13/2023 
InactiveMedco Containment Life Insurance Company301557Agent - Health9/2/20154/30/2017
InactiveMedico Corp Life Insurance Company301777Agent - Health8/10/20169/6/2016
InactiveMedico Corp Life Insurance Company301777Agent - Life8/10/20169/6/2016
Pending ReplacementSilverScript Insurance Company663526Agent - Health10/5/2022 
Pending ReplacementTier One Insurance Company301056Agent - Health9/18/2023 
InactiveUnified Life Insurance Company543169Agent - Health11/16/20166/19/2017
InactiveUnited States Fire Insurance Company582240Agent - Health12/27/20227/11/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/9/20246/20/2025
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/7/20159/6/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/9/20246/20/2025
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/23/20223/1/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementVirgil Insurance Agency LLC1119520Agent - Health9/13/2023 
InactiveeHealthInsurance Services Inc.514105Agent - Life11/6/20159/1/2016
InactiveeHealthInsurance Services Inc.514105Agent - Health11/6/201511/6/2015

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