PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameClark, Jordon WilliamDOIID1164832NAIC NPN20092007
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth10/7/202111/30/2023 
InactiveNon ResidentAgentLife10/7/202111/30/2023 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/7/20212/24/2022
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/7/20212/24/2022
InactiveAnthem Insurance Companies, Inc.300941Agent - Health10/7/20212/24/2022
InactiveCompcare Health Services Insurance Corporation948751Agent - Health10/7/20212/24/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedHealth Iq Insurance Services, Inc882220Agent - Life  

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