DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Reagan, Carla Jean	DOIID	315312	NAIC NPN	5966486

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	5/28/1999	7/1/2004
Inactive	Resident	Agent	Life	5/28/1999	7/1/2004
Inactive	Resident	Agent	Health Maintenance Organization	7/24/2000	3/1/2001
* 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 Life Insurance Company	301209	Agent - Health	5/28/1999	7/1/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/28/1999	7/1/2004
Inactive	Time Insurance Company	300683	Agent - Health	8/10/2001	5/22/2003
Inactive	Time Insurance Company	300683	Agent - Life	8/10/2001	5/22/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Commonwealth Health Corporation	400683	Agent - Life	7/24/2000	3/4/2003
Inactive	Commonwealth Health Corporation	400683	Agent - Health	3/1/2001	3/4/2003
Inactive	Commonwealth Health Corporation	400683	Agent - Health Maintenance Organization	7/24/2000	3/1/2001