DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clement, Monica Lynn	DOIID	1002559	NAIC NPN	15297659

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/30/2018		6/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2025	06/30/2025	04/16/2025	04/16/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	8/1/2018
Active	CHA HMO, Inc.	300662	Agent - Health	12/18/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	11/13/2019
Active	Dental Concern Inc. (The)	301641	Agent - Health	8/1/2018
Active	Emphesys Insurance Company	300598	Agent - Health	5/16/2025
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/1/2018
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/3/2018
Active	Humana Health Plan, Inc.	300142	Agent - Health	8/1/2018
Active	Humana Insurance Company	301104	Agent - Health	8/1/2018
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	8/1/2018
Active	Humana Medical Plan, Inc.	801568	Agent - Health	8/1/2018
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/1/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/23/2019	1/20/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	1/20/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/23/2019	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/23/2019	1/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Humana MarketPOINT Inc.	398092	Agent - Health	6/18/2019