DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carter, Collitta Monice	DOIID	897707	NAIC NPN	17719802

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/3/2015	6/7/2018
Inactive	Non Resident	Agent	Health	11/3/2015	6/7/2018
* 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	Dental Concern Inc. (The)	301641	Agent - Health	10/28/2016	10/31/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/28/2016	10/31/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/28/2016	10/31/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/28/2016	10/31/2017
Inactive	Humana Insurance Company	301104	Agent - Life	10/28/2016	10/31/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/28/2016	10/31/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/28/2016	10/31/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/28/2016	10/31/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/10/2015	7/19/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/10/2015	7/19/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	8/28/2017	10/31/2017
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	8/28/2017	10/31/2017