DEPARTMENT OF INSURANCE

Affiliations

Name	Carpenter, Virginia Adella	DOIID	912468	NAIC NPN	3649966

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	4/18/2016	12/1/2018
Inactive	Resident	Agent	Life	6/29/2016	12/1/2018
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/16/2017	12/1/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/16/2017	12/1/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/16/2017	12/1/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	3/27/2017	12/1/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/27/2017	12/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/18/2017	7/13/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/18/2017	7/13/2018
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/12/2017	12/1/2018
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/20/2017	12/1/2018
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/20/2017	12/1/2018
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	8/16/2017	12/1/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/12/2017	12/1/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/31/2017	12/10/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/31/2017	12/1/2018
Inactive	Humana Insurance Company	301104	Agent - Health	7/31/2017	12/1/2018
Inactive	Humana Insurance Company	301104	Agent - Life	7/31/2017	12/1/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/31/2017	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/31/2017	12/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/31/2017	12/1/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/31/2017	12/10/2018
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	3/27/2017	12/1/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/18/2017	1/30/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/18/2017	1/30/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/18/2017	1/30/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/18/2017	4/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	4/18/2017	7/13/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/18/2017	7/13/2018
Inactive	Green & Halliburton, Inc.	398934	Agent - Life	3/27/2017	4/24/2017
Inactive	Green & Halliburton, Inc.	398934	Agent - Health	3/27/2017	4/24/2017
Inactive	KIW Insurance LLC	878636	Agent - Life	3/27/2017	6/27/2018
Inactive	KIW Insurance LLC	878636	Agent - Health	3/27/2017	6/27/2018
Inactive	Medlink Inc	400721	Agent - Life	4/17/2017	12/1/2018
Inactive	Medlink Inc	400721	Agent - Health	4/17/2017	12/1/2018
Inactive	Planchoice Inc.	400482	Agent - Life	3/27/2017	12/1/2018
Inactive	Planchoice Inc.	400482	Agent - Health	3/27/2017	12/1/2018