DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pham, Carol P	DOIID	889177	NAIC NPN	11494537

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/31/2015	11/30/2017
Inactive	Non Resident	Agent	Life	8/31/2015	11/30/2017
* 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	5/12/2016	7/3/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/12/2016	7/3/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/12/2016	7/3/2017
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	5/12/2016	7/3/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/15/2015	8/10/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/15/2015	8/10/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/15/2015	8/10/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/15/2015	8/10/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	9/16/2015	8/9/2017
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	9/16/2015	8/9/2017