DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Amanda	DOIID	818761	NAIC NPN	17044395

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/28/2013	2/28/2019
Inactive	Non Resident	Agent	Casualty	4/28/2017	2/28/2019
Inactive	Non Resident	Agent	Property	4/28/2017	2/28/2019
* 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	9/23/2015	2/28/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/23/2015	2/28/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/24/2014	4/20/2015
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/12/2016	3/21/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/23/2015	2/28/2019
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	8/31/2017	2/28/2019
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	8/31/2017	2/28/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/8/2015	12/30/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/23/2015	4/8/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/23/2015	4/8/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/23/2015	4/8/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/23/2015	4/8/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/23/2015	4/8/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/23/2015	4/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/23/2015	10/22/2015
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/28/2015	12/21/2018
Inactive	United Services Automobile Association	300158	Agent - Casualty	8/31/2017	2/28/2019
Inactive	United Services Automobile Association	300158	Agent - Property	8/31/2017	2/28/2019
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/8/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/8/2015	2/14/2017
Inactive	Vision Service Plan Insurance Company	300526	Agent - Health	1/24/2014	3/6/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TTEC Healthcare Solutions, Inc.	814587	Agent - Health	9/29/2014	9/26/2018
Inactive	Ttec Financial Services Management LLC	881063	Agent - Property	8/31/2017	9/17/2018
Inactive	Ttec Financial Services Management LLC	881063	Agent - Casualty	8/31/2017	9/17/2018
Inactive	USAA Life General Agency Inc	399318	Agent - Health	2/4/2014	9/25/2014