DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Michael	DOIID	1055016	NAIC NPN	6592793

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	11/19/2020	9/30/2027
Active	Non Resident	Agent	Life	9/6/2019	9/30/2027
Active	Non Resident	Agent	Health	9/6/2019	9/30/2027
Active	Non Resident	Agent	Casualty	11/19/2020	9/30/2027
* 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	5/10/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/25/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/10/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/25/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/25/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	7/10/2020	8/11/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	4/11/2022	10/20/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/22/2021	6/23/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/11/2024	6/23/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/27/2019	5/6/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/27/2019	5/6/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/2/2023	10/24/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/9/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	6/23/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/10/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/10/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/16/2024
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	12/29/2020	5/4/2021
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	12/29/2020	5/4/2021
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	4/11/2022	10/20/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/21/2023	12/12/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/16/2023	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	2/3/2023	10/24/2025
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	7/22/2025	12/2/2025
Inactive	National General Insurance Company	300152	Agent - Casualty	6/4/2021	8/30/2021
Inactive	National General Insurance Company	300152	Agent - Property	6/4/2021	8/30/2021
Active	SilverScript Insurance Company	663526	Agent - Health	9/25/2020
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	12/29/2020	5/4/2021
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	12/29/2020	5/4/2021
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	12/29/2020	5/4/2021
Inactive	USAA General Indemnity Company	300131	Agent - Property	12/29/2020	5/4/2021
Active	United Home Life Insurance Company	300421	Agent - Life	10/24/2025
Inactive	United Services Automobile Association	300158	Agent - Casualty	12/29/2020	5/4/2021
Inactive	United Services Automobile Association	300158	Agent - Property	12/29/2020	5/4/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/9/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/19/2020	1/20/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/19/2020	1/20/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/9/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/28/2019
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/28/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Financial Services Management LLC	881063	Agent - Property	2/9/2021	4/23/2021
Inactive	Ttec Financial Services Management LLC	881063	Agent - Casualty	2/9/2021	4/23/2021