DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Virginia Nicole	DOIID	1077007	NAIC NPN	17680703

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/5/2020		10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/13/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/7/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/13/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	7/13/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/17/2020	3/15/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/9/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/7/2022
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	3/25/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	3/4/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	4/9/2025
Active	SilverScript Insurance Company	663526	Agent - Health	7/13/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/9/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/9/2023

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	3/16/2020	2/10/2025