DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Dawn M	DOIID	1158520	NAIC NPN	8494409

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/14/2021	1/31/2024
* 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	9/20/2023	11/17/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/29/2021	1/31/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/20/2023	1/31/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/29/2021	1/31/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/29/2021	1/31/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	4/14/2022	10/11/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/14/2021	1/31/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/29/2021	1/31/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/14/2021	1/31/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/22/2023	12/19/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/14/2021	1/31/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/20/2023	1/31/2024
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	8/22/2023	12/19/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/29/2021	1/31/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/22/2023	12/19/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/14/2021	9/16/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/14/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/22/2023	12/19/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	1/31/2024