DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Melinda R	DOIID	1091530	NAIC NPN	8813509

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/30/2020		2/28/2025
* 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 - Health	9/10/2021	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/26/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/25/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/26/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/26/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/17/2020
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/28/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	2/14/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/27/2020	12/9/2021
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/25/2020
Active	Dental Care Plus Inc.	301495	Agent - Health	8/5/2020
Active	Golden Rule Insurance Company	301943	Agent - Health	2/16/2023
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/1/2022
Active	Humana Insurance Company	301104	Agent - Health	10/22/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/17/2020	12/13/2022
Active	Medco Containment Life Insurance Company	301557	Agent - Health	6/24/2024
Active	Omaha Health Insurance Company	301296	Agent - Health	10/13/2020
Active	SilverScript Insurance Company	663526	Agent - Health	8/26/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/9/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/9/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/9/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/9/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Retiremed IQ, LLC	682484	Agent - Health	12/2/2020