DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lawrence, Carleith	DOIID	972574	NAIC NPN	17801770

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/13/2017	8/31/2021
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/17/2020	8/31/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/16/2020	8/31/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/17/2020	8/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/17/2020	8/31/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	5/19/2021	8/31/2021
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/3/2017	8/31/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/16/2020	8/31/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	5/31/2020	11/25/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/17/2020	8/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/9/2019	8/31/2021