DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Damian	DOIID	1195811	NAIC NPN	20222692

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	3/28/2022	10/31/2026
Active	Non Resident	Agent	Life	3/28/2022	10/31/2026
* 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	08/15/2024	10/31/2024	08/13/2024	08/13/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	3/31/2022	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	3/31/2022	4/25/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/8/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/31/2022	4/25/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/8/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	4/8/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/21/2022	12/22/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	12/21/2022	12/22/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/21/2022	12/22/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/8/2022	12/22/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/8/2022	12/22/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	9/29/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	12/20/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	9/29/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/21/2022	12/22/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/31/2022	4/25/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/31/2022	4/25/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/14/2024
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/29/2024
Active	Humana Insurance Company	301104	Agent - Health	9/29/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	9/29/2024
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/29/2024
Active	National Health Insurance Company	300554	Agent - Health	4/1/2022
Active	National Health Insurance Company	300554	Agent - Life	4/1/2022
Active	SilverScript Insurance Company	663526	Agent - Health	4/8/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/3/2022	12/20/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	4/3/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/3/2022	12/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthcompare Ins Services Inc	708319	Agent - Life	3/31/2022	12/1/2022
Inactive	Healthcompare Ins Services Inc	708319	Agent - Health	3/28/2022	12/1/2022
Active	Humana MarketPOINT Inc.	398092	Agent - Life	8/27/2024
Active	Humana MarketPOINT Inc.	398092	Agent - Health	8/27/2024