DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Ashley	DOIID	1200798	NAIC NPN	19957181

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/10/2023		6/30/2025
Active	Non Resident	Agent	Life	8/10/2023		6/30/2025
Denied	Non Resident	Managing General Agent	Not Applicable
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/7/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	3/7/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Gallagher Benefit Services Inc	525782	Agent - Life
Active	Gallagher Benefit Services Inc	525782	Agent - Health	4/26/2024