DEPARTMENT OF INSURANCE

Affiliations

Name	Carlson, Adam G	DOIID	813445	NAIC NPN	16900302

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	6/28/2013	12/31/2026
Active	Non Resident	Agent	Health	6/28/2013	12/31/2026
* 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
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/16/2015
Inactive	American Continental Insurance Company	643130	Agent - Health	7/15/2013	5/31/2016
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/25/2013	11/20/2013
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	3/5/2014	12/24/2015
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	3/5/2014	12/24/2015
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	6/21/2024
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	7/25/2013	12/16/2014
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/5/2021
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/19/2022	3/2/2023
Inactive	GCU	962873	Agent - Health	2/25/2019	12/16/2019
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/22/2019	1/9/2023
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	3/25/2015	1/23/2019
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	5/17/2017
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	6/2/2014	12/21/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	6/2/2014	12/21/2016
Inactive	Medico Insurance Company	301559	Agent - Health	8/6/2013	12/21/2016
Inactive	Medico Insurance Company	301559	Agent - Life	8/6/2013	12/21/2016
Inactive	Omaha Insurance Company	751908	Agent - Health	2/19/2014	11/22/2016
Inactive	SILAC Insurance Company	300535	Agent - Health	7/23/2013	3/26/2018
Inactive	SILAC Insurance Company	300535	Agent - Life	7/23/2013	3/26/2018
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	8/9/2018	5/8/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	9/11/2019	10/22/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Smart Match Insurance Agency LLC	829381	Agent - Health	12/5/2024
Active	Smart Match Insurance Agency LLC	829381	Agent - Life	12/5/2024
Active	Spring Ins Solutions LLC	788951	Agent - Health	11/19/2019
Denied	Spring Ins Solutions LLC	788951	Agent - Life