PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameClark, Michael DOIID1055016NAIC NPN6592793
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty11/19/2020 9/30/2025
ActiveNon ResidentAgentLife9/6/2019 9/30/2025
ActiveNon ResidentAgentCasualty11/19/2020 9/30/2025
ActiveNon ResidentAgentHealth9/6/2019 9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202509/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life5/10/2024 
ActiveAetna Health Inc. (PA)660717Agent - Health9/25/2020 
ActiveAetna Health and Life Insurance Company300523Agent - Health5/10/2024 
ActiveAetna Health of Ohio Inc.1065035Agent - Health9/25/2020 
ActiveAetna Life Insurance Company301140Agent - Health9/25/2020 
InactiveAmerican Continental Insurance Company643130Agent - Life7/10/20208/11/2021
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life4/11/202210/20/2022
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/22/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health4/11/2024 
InactiveAnthem Life Insurance Company301209Agent - Health9/27/20195/6/2021
InactiveAnthem Life Insurance Company301209Agent - Life9/27/20195/6/2021
ActiveArcadian Health Plan, Inc.728196Agent - Health11/2/2023 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/3/2023 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health5/10/2024 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life5/10/2024 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health8/16/2024 
InactiveGarrison Property and Casualty Insurance Company301957Agent - Casualty12/29/20205/4/2021
InactiveGarrison Property and Casualty Insurance Company301957Agent - Property12/29/20205/4/2021
InactiveGreat Southern Life Insurance Company301443Agent - Health4/11/202210/20/2022
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health6/21/202312/12/2024
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health8/16/202312/12/2024
ActiveHumana Insurance Company301104Agent - Health2/3/2023 
InactiveNational General Insurance Company300152Agent - Casualty6/4/20218/30/2021
InactiveNational General Insurance Company300152Agent - Property6/4/20218/30/2021
ActiveSilverScript Insurance Company663526Agent - Health9/25/2020 
InactiveUSAA Casualty Insurance Company300995Agent - Casualty12/29/20205/4/2021
InactiveUSAA Casualty Insurance Company300995Agent - Property12/29/20205/4/2021
InactiveUSAA General Indemnity Company300131Agent - Casualty12/29/20205/4/2021
InactiveUSAA General Indemnity Company300131Agent - Property12/29/20205/4/2021
InactiveUnited Services Automobile Association300158Agent - Casualty12/29/20205/4/2021
InactiveUnited Services Automobile Association300158Agent - Property12/29/20205/4/2021
ActiveUnitedHealthcare Insurance Company300946Agent - Health7/3/2023 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health3/19/20201/20/2021
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/19/20201/20/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health6/29/2023 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/28/2019 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health10/28/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveTtec Financial Services Management LLC881063Agent - Property2/9/20214/23/2021
InactiveTtec Financial Services Management LLC881063Agent - Casualty2/9/20214/23/2021

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