DEPARTMENT OF INSURANCE
Affiliations
NameCorporan, Carla DOIID893937NAIC NPN17729132
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife10/2/2015 9/30/2026
ActiveNon ResidentAgentHealth10/2/2015 9/30/2026
* 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
InactiveContinental American Insurance Company301700Agent - Health10/7/201510/16/2017
InactiveContinental American Insurance Company301700Agent - Life10/7/201510/16/2017
InactiveProvident Life and Accident Insurance Company301525Agent - Health6/21/20167/29/2021
InactiveProvident Life and Accident Insurance Company301525Agent - Life6/21/20167/29/2021
InactiveUNUM Life Insurance Company of America300817Agent - Health6/21/20167/29/2021
InactiveUNUM Life Insurance Company of America300817Agent - Life6/21/20167/29/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMercer Health & Benefits Administration LLC656414Agent - Health1/15/20197/29/2021
InactiveMercer Health & Benefits Administration LLC656414Agent - Life1/15/20197/29/2021

© Commonwealth of Kentucky. All rights reserved.