DEPARTMENT OF INSURANCE

Affiliations

Name	Carlson, Daryl Rolland	DOIID	320146	NAIC NPN	257680

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	2/12/2008		10/31/2025
Active	Resident	Agent	Property	2/12/2008		10/31/2025
Active	Resident	Agent	Life	6/14/1994		10/31/2025
Active	Resident	Agent	Health	6/14/1994		10/31/2025
Active	Resident	Agent	Variable Life and Variable Annuities	7/16/2001		10/31/2025
Inactive	Resident	Agent	Health Maintenance Organization	6/4/1998	3/1/2001
Inactive	Resident	Agent	General Lines	2/25/1997	3/31/1998
Active	Resident	Life & Health Consultant	Not Applicable	8/19/2013		10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025
Life & Health Consultant	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/24/2019
Active	Aetna Life Insurance Company	301140	Agent - Health	9/24/2019
Active	Aetna Life Insurance Company	301140	Agent - Life	9/24/2019
Active	All Savers Insurance Company	301940	Agent - Health	8/8/2012
Active	All Savers Insurance Company	301940	Agent - Life	6/4/2015
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	5/14/2002	11/20/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/14/2002	11/20/2007
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/26/2010
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/26/2010
Inactive	American Fidelity Assurance Company	301004	Agent - Health	1/23/2011	12/19/2014
Inactive	American Fidelity Assurance Company	301004	Agent - Life	1/23/2011	12/19/2014
Active	American Heritage Life Insurance Company	300272	Agent - Health	12/9/2008
Active	American Heritage Life Insurance Company	300272	Agent - Life	12/9/2008
Inactive	American National Insurance Company	301861	Agent - Health	5/14/2019	4/9/2025
Active	American United Life Insurance Company	300498	Agent - Health	2/8/2016
Active	American United Life Insurance Company	300498	Agent - Life	2/8/2016
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/23/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/23/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/26/1998	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/26/1998	4/15/2025
Inactive	Assurity Life Insurance Company	301099	Agent - Health	1/10/2000	12/19/2000
Inactive	Assurity Life Insurance Company	301099	Agent - Life	1/10/2000	12/19/2000
Active	Banner Life Insurance Company	301696	Agent - Life	3/20/2000
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	12/21/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	12/21/2011
Inactive	C.M. Life Insurance Company	301335	Agent - Health	3/10/1999	3/15/2007
Inactive	C.M. Life Insurance Company	301335	Agent - Life	3/10/1999	3/15/2007
Inactive	C.M. Life Insurance Company	301335	Agent - Variable Life and Variable Annuities	9/9/2002	5/16/2006
Active	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	10/1/2003
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	2/10/2016	4/5/2025
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	2/10/2016	4/5/2025
Active	Combined Insurance Company of America	301472	Agent - Health	12/14/2011
Active	Combined Insurance Company of America	301472	Agent - Life	12/14/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/26/2008	3/14/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Health	8/27/2014	10/23/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Life	8/27/2014	10/23/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/1/2003	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	10/1/2003	6/11/2014
Inactive	Continental Casualty Company	301019	Agent - Health	10/28/2003	12/10/2004
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Active	Dental Concern Inc. (The)	301641	Agent - Health	6/17/2002
Inactive	EMC National Life Company	300388	Agent - Health	12/21/2010	12/31/2013
Inactive	EMC National Life Company	300388	Agent - Life	12/21/2010	12/31/2013
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Health	8/14/2020
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Life	8/14/2020
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - General Lines	2/25/1997	3/31/1998
Inactive	First Colony Life Insurance Company	301179	Agent - Life	7/9/1998	1/1/2007
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	8/30/1999	12/23/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	8/30/1999	12/23/2008
Inactive	General American Life Insurance Company	300280	Agent - Health	6/14/1994	2/11/2000
Inactive	General American Life Insurance Company	300280	Agent - Life	6/14/1994	2/11/2000
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/4/2007
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	1/21/2011
Active	Grange Indemnity Insurance Company	300793	Agent - Property	1/21/2011
Active	Grange Insurance Company	300234	Agent - Casualty	1/21/2011
Active	Grange Insurance Company	300234	Agent - Property	1/21/2011
Inactive	Grange Life Insurance Company	300128	Agent - Health	1/21/2011	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	1/21/2011	12/28/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	1/21/2011
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	1/21/2011
Active	Guardian Life Insurance Company of America	301316	Agent - Health	12/30/1998
Active	Guardian Life Insurance Company of America	301316	Agent - Life	12/30/1998
Active	HCC Life Insurance Company	301827	Agent - Health	6/5/2018
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	10/28/2003	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	10/28/2003	12/31/2006
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/6/2004
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/6/2004
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/19/2021
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/19/2021
Active	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	9/30/1998	3/1/2001
Active	Humana Insurance Company	301104	Agent - Health	8/17/1998
Active	Humana Insurance Company	301104	Agent - Life	8/17/1998
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	1/21/2021
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	1/21/2021
Active	Humana Medical Plan, Inc.	801568	Agent - Health	2/19/2021
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/19/2021
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/15/2001	5/13/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	2/4/2004	12/28/2006
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	2/4/2004	12/28/2006
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	10/9/1997	5/19/1999
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/9/1997	5/19/1999
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	8/9/2018
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/16/2016
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/16/2016
Inactive	MML Bay State Life Insurance Company	301198	Agent - Health	9/23/2002	3/17/2003
Inactive	MML Bay State Life Insurance Company	301198	Agent - Life	9/23/2002	3/17/2003
Inactive	MML Bay State Life Insurance Company	301198	Agent - Variable Life and Variable Annuities	9/23/2002	3/17/2003
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	3/10/1999	3/15/2007
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	3/10/1999	3/15/2007
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Variable Life and Variable Annuities	7/16/2001	5/16/2006
Active	Metropolitan Life Insurance Company	301948	Agent - Health	7/28/2015
Active	Metropolitan Life Insurance Company	301948	Agent - Life	7/28/2015
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	9/10/2008
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Health	5/19/1998	4/13/1999
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Life	5/19/1998	4/13/1999
Inactive	Nassau Life Insurance Company	301406	Agent - Health	12/27/1994	6/5/2000
Inactive	Nassau Life Insurance Company	301406	Agent - Life	12/27/1994	6/5/2000
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	11/22/1994	12/30/2002
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	11/22/1994	12/30/2002
Inactive	New York Life Insurance Company	300431	Agent - Health	5/5/1998	4/13/1999
Inactive	New York Life Insurance Company	300431	Agent - Life	5/5/1998	4/13/1999
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	5/5/1998	4/13/1999
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	5/5/1998	4/13/1999
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	12/28/1995	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	12/28/1995	12/11/2002
Active	Principal Life Insurance Company	300129	Agent - Health	11/11/1998
Active	Principal Life Insurance Company	300129	Agent - Life	11/11/1998
Active	Principal Life Insurance Company	300129	Agent - Variable Life and Variable Annuities	11/11/2002
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	5/23/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	5/23/2024
Inactive	Pruco Life Insurance Company	300954	Agent - Health	1/2/2002	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	1/2/2002	12/23/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Health	2/8/2002	12/17/2004
Inactive	Prudential Insurance Company of America	300784	Agent - Life	2/8/2002	12/17/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	3/10/1998	9/3/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	12/19/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	12/19/2008
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	7/1/2009
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	7/1/2009
Active	Security Benefit Life Insurance Company	300583	Agent - Health	4/2/1998
Active	Security Benefit Life Insurance Company	300583	Agent - Life	4/2/1998
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	2/5/2001	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	2/5/2001	10/1/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	4/8/2003	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	4/8/2003	3/31/2009
Active	Standard Insurance Company	300185	Agent - Health	12/29/2017
Active	Standard Insurance Company	300185	Agent - Life	12/29/2017
Active	Standard Insurance Company	300185	Agent - Variable Life and Variable Annuities	12/29/2017
Active	Starmount Life Insurance Company	628031	Agent - Health	5/23/2024
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	11/21/1994	7/20/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	11/21/1994	7/20/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	7/5/1995	7/20/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	7/5/1995	7/20/2009
Inactive	Time Insurance Company	300683	Agent - Health	11/9/1998	10/23/2006
Inactive	Time Insurance Company	300683	Agent - Life	11/9/1998	10/23/2006
Inactive	Transamerica Assurance Company	300893	Agent - Health	7/12/2001	7/2/2003
Inactive	Transamerica Assurance Company	300893	Agent - Life	7/12/2001	7/2/2003
Active	Transamerica Life Insurance Company	300571	Agent - Health	8/24/2021
Active	Transamerica Life Insurance Company	300571	Agent - Life	8/24/2021
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	7/12/2001	10/1/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	4/23/2001	12/27/2006
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	4/23/2001	12/27/2006
Active	Trustgard Insurance Company	300104	Agent - Casualty	1/21/2011
Active	Trustgard Insurance Company	300104	Agent - Property	1/21/2011
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	8/21/2000	9/4/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	8/21/2000	9/4/2007
Active	UNUM Life Insurance Company of America	300817	Agent - Health	5/23/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Life	5/23/2024
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	8/27/2001	12/28/2006
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	8/27/2001	12/28/2006
Active	United of Omaha Life Insurance Company	300156	Agent - Health	9/10/2008
Active	United of Omaha Life Insurance Company	300156	Agent - Life	9/10/2008
Active	United of Omaha Life Insurance Company	300156	Agent - Variable Life and Variable Annuities	3/7/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	11/8/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	11/8/2023
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/8/2023
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/8/2023
Active	Unum Insurance Company	301499	Agent - Health	5/23/2024
Active	Unum Insurance Company	301499	Agent - Life	5/23/2024
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Health	4/23/2025
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	10/28/2003	12/10/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	10/28/2003	12/10/2004
Inactive		300277	Agent - Health	12/2/1998	12/18/2006
Inactive		300277	Agent - Life	12/2/1998	12/18/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	9/8/1998	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	9/8/1998	6/21/2008
Inactive	B B & T Investment Services Inc.	510955	Agent - Variable Life and Variable Annuities	9/9/2004	1/19/2007
Inactive	D & L's LLC	401112	Agent - Life	11/20/2001	3/7/2012
Inactive	D & L's LLC	401112	Agent - Health	11/20/2001	3/7/2012
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	5/25/2005	7/21/2014
Active	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013
Inactive	Employee Benefits Services Corporation	399799	Agent - Health	3/1/2001	5/31/2003
Inactive	Employee Benefits Services Corporation	399799	Agent - Health Maintenance Organization	6/4/1998	3/1/2001
Inactive	MML Insurance Agency LLC	398679	Agent - Life	2/14/2000	8/24/2011
Inactive	MML Insurance Agency LLC	398679	Agent - Health	2/14/2000	8/24/2011
Inactive	MML Insurance Agency LLC	398679	Agent - Variable Life and Variable Annuities	2/21/2005	8/24/2011
Active	Marsh & Mclennan Agency LLC	716460	Agent - Life	2/7/2025
Active	Marsh & Mclennan Agency LLC	716460	Agent - Health	2/7/2025
Active	Marsh & Mclennan Agency LLC	716460	Agent - Casualty	2/7/2025
Active	Marsh & Mclennan Agency LLC	716460	Agent - Property	2/7/2025
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Life	8/11/2004	4/4/2025
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Health	8/11/2004	4/4/2025