DEPARTMENT OF INSURANCE

Affiliations

Name	Carlson, Kevin Gregory	DOIID	958888	NAIC NPN	17072483

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	6/28/2017	9/30/2023
Inactive	Non Resident	Agent	Health	6/28/2017	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	Accendo Insurance Company	300312	Agent - Life	3/23/2021	9/30/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/8/2021	9/30/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/23/2021	9/30/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/16/2021	9/30/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/8/2021	9/30/2023
Inactive	American Continental Insurance Company	643130	Agent - Life	3/23/2021	8/11/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/12/2019	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/12/2019	12/20/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	3/11/2021	9/13/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/8/2023	11/9/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	12/20/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/23/2021	9/30/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/23/2021	9/30/2023
Inactive	Federal Insurance Company	301144	Agent - Health	4/19/2018	10/26/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/18/2017	3/23/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/18/2017	3/23/2022
Inactive	Humana Insurance Company	301104	Agent - Health	5/15/2023	11/14/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/23/2021	9/13/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	2/5/2020	9/30/2023
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	7/2/2019	2/3/2023
Inactive	Pruco Life Insurance Company	300954	Agent - Life	10/22/2020	4/20/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/16/2021	9/30/2023
Inactive	Time Insurance Company	300683	Agent - Health	4/26/2018	11/23/2019
Inactive	Time Insurance Company	300683	Agent - Life	4/26/2018	11/23/2019
Inactive	Unified Life Insurance Company	543169	Agent - Health	7/7/2017	12/12/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/8/2023	11/9/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/10/2020	10/17/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/10/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/8/2023	11/9/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/10/2020	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/10/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/15/2019	9/30/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/15/2019	9/30/2023
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/20/2018	1/25/2023