DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carman, Micky R	DOIID	938951	NAIC NPN	18226133

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	1/3/2017	1/1/2019
Inactive	Resident	Agent	Casualty	1/23/2018	1/1/2019
Inactive	Resident	Agent	Health	1/3/2017	1/1/2019
Inactive	Resident	Agent	Property	1/9/2018	1/1/2019
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/18/2017	1/23/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/18/2017	1/23/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/18/2017	1/23/2018
Inactive	Assurity Life Insurance Company	301099	Agent - Health	10/4/2017	1/26/2018
Inactive	Assurity Life Insurance Company	301099	Agent - Life	10/4/2017	1/26/2018
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	1/18/2017	3/3/2018
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	1/18/2017	3/3/2018
Inactive	Augustar Life Insurance Company	301816	Agent - Health	2/1/2017	3/3/2018
Inactive	Augustar Life Insurance Company	301816	Agent - Life	2/1/2017	3/3/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/14/2017	11/28/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/14/2017	11/28/2017

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 - Health	7/18/2017	1/24/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/18/2017	1/24/2018