DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Shana L	DOIID	1221389	NAIC NPN	1296978

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	8/5/2022	3/31/2027
Active	Non Resident	Agent	Health	8/5/2022	3/31/2027
* 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	4/20/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/20/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	4/20/2023
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/27/2023
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/27/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	3/23/2023	6/24/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	3/23/2023	6/24/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/14/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	3/14/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/14/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/22/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	6/12/2023	1/6/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	6/12/2023	1/6/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/14/2023
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/1/2024
Inactive	Elips Life Insurance Company	301087	Agent - Health	8/21/2023	1/23/2025
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	3/21/2023
Active	Guarantee Trust Life Insurance Company	301043	Agent - Life	3/21/2023
Active	Medico Insurance Company	301559	Agent - Health	4/18/2023
Active	Medico Insurance Company	301559	Agent - Life	4/18/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	4/10/2023
Active	SilverScript Insurance Company	663526	Agent - Health	4/20/2023
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022
Active	United Home Life Insurance Company	300421	Agent - Life	5/27/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/22/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/22/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	MAS Insurance Marketing, LLC	751909	Agent - Life	4/3/2023
Active	MAS Insurance Marketing, LLC	751909	Agent - Health	4/3/2023