DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Jessica	DOIID	1231678	NAIC NPN	20428884

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/22/2022		8/31/2025
* 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	06/15/2025	08/31/2025

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	9/30/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/30/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	9/30/2022
Active	SilverScript Insurance Company	663526	Agent - Health	9/30/2022
Inactive	USAA Life Insurance Company	300734	Agent - Health	10/1/2022	11/10/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Healthcare Solutions, Inc.	814587	Agent - Health	10/10/2022	11/12/2024