DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Kelisha Geronda	DOIID	1143887	NAIC NPN	19950054

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/8/2021		7/31/2024
* 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	05/15/2024	07/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	1/6/2023	11/17/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	7/14/2021	12/17/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	1/6/2023	1/19/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/14/2021	12/17/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/14/2021	12/17/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/6/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	12/6/2021	2/15/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/6/2021	2/15/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/6/2021	2/15/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/6/2023	1/19/2024
Inactive	Humana Insurance Company	301104	Agent - Health	11/21/2022	2/9/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/14/2021	12/17/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/30/2021	3/13/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/20/2022	1/31/2023
Inactive	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022	1/24/2023