DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Carlos Rafael	DOIID	839889	NAIC NPN	17064360

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	4/17/2020	7/31/2023
Inactive	Non Resident	Agent	Life	4/17/2020	7/31/2023
* 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	AXIS Insurance Company	301290	Agent - Health	5/26/2020	3/12/2021
Inactive	Accendo Insurance Company	300312	Agent - Life	6/30/2021	11/10/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	7/14/2021	7/31/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/30/2021	11/10/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/14/2021	7/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/14/2021	7/31/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	12/30/2016	4/12/2017
Inactive	American General Life Insurance Company	301585	Agent - Life	12/30/2016	4/12/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/22/2021	11/21/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	11/21/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	11/21/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/9/2020	5/11/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/9/2020	5/11/2021
Inactive	Aspen American Insurance Company	301513	Agent - Health	7/9/2020	12/14/2020
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	9/23/2020	5/6/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/23/2020	7/12/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	9/23/2020	7/12/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	11/21/2022
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	9/23/2020	5/6/2022
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	9/23/2020	5/6/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/30/2021	11/10/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/30/2021	11/10/2022
Inactive	Everest Reinsurance Company	301836	Agent - Health	12/19/2016	7/31/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/22/2021	10/28/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/22/2021	10/28/2022
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	12/14/2016	7/31/2017
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	12/14/2016	7/31/2017
Inactive	HCC Life Insurance Company	301827	Agent - Health	12/10/2014	10/3/2016
Inactive	Life Insurance Company of North America	300711	Agent - Health	9/23/2020	5/6/2022
Inactive	Life Insurance Company of North America	300711	Agent - Life	9/23/2020	5/6/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/7/2021	3/7/2023
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	6/15/2020	7/31/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/14/2021	7/31/2023
Inactive	Time Insurance Company	300683	Agent - Health	5/7/2014	9/16/2014
Inactive	Time Insurance Company	300683	Agent - Life	5/7/2014	9/16/2014
Inactive	Unified Life Insurance Company	543169	Agent - Health	4/4/2016	11/3/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/30/2021	10/28/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/30/2021	10/28/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/30/2021	10/28/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/30/2021	10/28/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/31/2021	12/30/2021

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 - Health	5/11/2020	5/11/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/11/2020	5/11/2021
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	6/10/2020	4/18/2022