DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Tasia	DOIID	1054201	NAIC NPN	19247555

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/24/2025		10/31/2026
* 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	08/15/2026	10/31/2026

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	3/31/2021	8/6/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/28/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	3/28/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/7/2026	3/6/2026
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/24/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/7/2026	3/6/2026
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	1/13/2023	12/12/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/24/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/7/2026	3/6/2026
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/28/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/6/2023	12/12/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/14/2019	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	11/4/2019	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/21/2019	12/13/2022
Active	SilverScript Insurance Company	663526	Agent - Health	3/28/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/24/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/6/2020	10/11/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/6/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/24/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/21/2025	3/30/2026
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/17/2019	3/4/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/19/2019	10/31/2024