DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Bennie Faye	DOIID	1132122	NAIC NPN	18781070

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/29/2021	11/30/2024
Inactive	Non Resident	Agent	Life	4/29/2021	11/30/2024
* 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	9/29/2021
Inactive	Accendo Insurance Company	300312	Agent - Life	8/12/2021	9/29/2021
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/24/2021	7/14/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/12/2021	9/29/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/24/2021	7/14/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/24/2021	7/14/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/17/2022	12/16/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/12/2021	9/29/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/12/2021	9/29/2021
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	5/4/2021	6/16/2021
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	5/4/2021	6/16/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/24/2021	7/14/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/4/2022	12/16/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/4/2022	12/16/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/4/2022	12/16/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	5/4/2021	6/16/2021
Inactive	Ushealth Advisors Llc	713288	Agent - Health	5/4/2021	6/16/2021