DEPARTMENT OF INSURANCE

Affiliations

Name	Watts, Carnisha Nicole	DOIID	929070	NAIC NPN	18030388

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/30/2022	9/30/2023
Inactive	Non Resident	Agent	Life	11/30/2022	9/30/2023
* 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	10/11/2016	9/5/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/11/2016	9/5/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/11/2016	9/5/2017
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/2/2022	7/26/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/2/2022	7/26/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/20/2016	2/8/2017
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	4/6/2021	8/4/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/27/2016	7/13/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/11/2016	9/5/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/27/2016	7/13/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/27/2016	7/13/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/27/2016	7/13/2017
Inactive	Humana Insurance Company	301104	Agent - Life	9/27/2016	7/13/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/27/2016	7/13/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/27/2016	7/13/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	7/13/2017
Denied	Tier One Insurance Company	301056	Agent - Health
Denied	Tier One Insurance Company	301056	Agent - Life
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/13/2016	1/6/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/13/2016	1/6/2017
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2016	1/6/2017

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	11/16/2016	12/14/2016
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	11/16/2016	12/14/2016
Inactive	Sutherland Global Services Inc	601788	Agent - Life	12/2/2022	7/26/2023
Inactive	Sutherland Global Services Inc	601788	Agent - Health	12/2/2022	7/26/2023