DEPARTMENT OF INSURANCE
Affiliations
NameCarlson, Leif DanielDOIID883632NAIC NPN17560523
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth6/16/2026 4/30/2027
ActiveNon ResidentAgentLife8/1/2025 4/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent02/15/202704/30/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health10/5/20224/30/2025
ActiveAetna Health and Life Insurance Company300523Agent - Health10/19/2026 
InactiveAetna Health of Ohio Inc.1065035Agent - Health10/5/20224/30/2025
InactiveAetna Life Insurance Company301140Agent - Health10/5/20224/30/2025
InactiveAetna Life Insurance Company301140Agent - Life8/4/201511/19/2016
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/28/20224/30/2025
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/28/202212/19/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/28/20224/30/2025
InactiveArcadian Health Plan, Inc.728196Agent - Health2/22/202312/12/2024
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health8/10/2026 
InactiveCompBenefits Dental, Inc.591692Agent - Health4/16/201610/25/2016
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/28/20224/30/2025
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health10/19/2026 
InactiveCoventry Health and Life Insurance Company301771Agent - Health8/4/201511/19/2016
InactiveDental Concern Inc. (The)301641Agent - Health4/16/201610/25/2016
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/3/2026 
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life3/17/202610/5/2026
InactiveFirst Health Life & Health Insurance Company301735Agent - Health8/4/201511/19/2016
InactiveGolden Rule Insurance Company301943Agent - Health10/26/20165/5/2017
InactiveGolden Rule Insurance Company301943Agent - Life10/26/20165/5/2017
InactiveGuarantee Trust Life Insurance Company301043Agent - Health1/23/20254/30/2025
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health7/20/201510/25/2016
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health7/20/201510/25/2016
InactiveHumana Health Plan, Inc.300142Agent - Health12/22/20166/14/2017
InactiveHumana Insurance Company301104Agent - Health8/24/202312/12/2024
InactiveHumana Insurance Company301104Agent - Life7/20/201510/25/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Health7/20/201510/25/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Life7/20/201510/25/2016
InactiveHumana Medical Plan, Inc.801568Agent - Health7/20/201510/25/2016
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/201610/25/2016
ActiveInsurance Company of North America300226Agent - Health6/19/2026 
InactiveKanawha Insurance Company300127Agent - Health7/20/201510/22/2015
InactiveKanawha Insurance Company300127Agent - Life7/20/201510/22/2015
InactiveManhattanLife Insurance and Annuity Company301795Agent - Health7/13/20234/30/2025
InactiveMedco Containment Life Insurance Company301557Agent - Health9/2/20154/30/2017
InactiveMedico Corp Life Insurance Company301777Agent - Health8/10/20169/6/2016
InactiveMedico Corp Life Insurance Company301777Agent - Life8/10/20169/6/2016
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health7/13/2026 
InactiveSilverScript Insurance Company663526Agent - Health10/5/20224/30/2025
InactiveTier One Insurance Company301056Agent - Health9/18/20234/30/2025
ActiveTier One Insurance Company301056Agent - Life5/7/2026 
InactiveUnified Life Insurance Company543169Agent - Health11/16/20166/19/2017
InactiveUnited States Fire Insurance Company582240Agent - Health12/27/20227/11/2023
ActiveUnitedHealthcare Insurance Company300946Agent - Health8/10/2026 
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/7/20159/6/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/10/2026 
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/23/20223/1/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveVirgil Insurance Agency LLC1119520Agent - Health9/13/20234/30/2025
InactiveeHealthInsurance Services Inc.514105Agent - Life11/6/20159/1/2016
InactiveeHealthInsurance Services Inc.514105Agent - Health11/6/201511/6/2015

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