DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Crystal Lynn	DOIID	1057062	NAIC NPN	10796707

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/20/2019	11/30/2020
Inactive	Non Resident	Agent	Life	9/20/2019	11/30/2020
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	11/30/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/10/2019	11/30/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/1/2019	11/30/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020	11/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/10/2019	11/30/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	10/1/2019	11/30/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/24/2019	11/30/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/12/2020	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/12/2020	12/10/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	6/4/2020	11/30/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	10/28/2019	4/17/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/1/2019	11/30/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/6/2020	11/30/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/7/2019	11/30/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/7/2019	11/30/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/26/2020	11/30/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/26/2020	11/30/2020

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 - Life	5/12/2020	12/11/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/12/2020	12/11/2020
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	2/4/2020	11/30/2020
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	2/4/2020	11/30/2020