DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Hayden Earl	DOIID	1052975	NAIC NPN	19265936

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/24/2019	7/1/2022
Inactive	Resident	Agent	Casualty	9/17/2019	7/1/2022
Inactive	Resident	Agent	Property	9/19/2019	7/1/2022
* 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	AMEX Assurance Company	301728	Agent - Casualty	10/25/2019	6/25/2020
Inactive	AMEX Assurance Company	301728	Agent - Health	10/25/2019	6/25/2020
Inactive	AMEX Assurance Company	301728	Agent - Property	10/25/2019	6/25/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/29/2021	5/5/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/29/2021	5/5/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/29/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/29/2021	5/5/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Inc.	1074645	Agent - Casualty	3/13/2020	6/25/2020
Inactive	Alorica Inc.	1074645	Agent - Health	3/13/2020	6/25/2020
Inactive	Alorica Inc.	1074645	Agent - Property	3/13/2020	6/25/2020