DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Corporan, Carla	DOIID	893937	NAIC NPN	17729132

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/2/2015		9/30/2024
Active	Non Resident	Agent	Health	10/2/2015		9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Continental American Insurance Company	301700	Agent - Health	10/7/2015	10/16/2017
Inactive	Continental American Insurance Company	301700	Agent - Life	10/7/2015	10/16/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/21/2016	7/29/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/21/2016	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/21/2016	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/21/2016	7/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Health	1/15/2019	7/29/2021
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Life	1/15/2019	7/29/2021