DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Ashley	DOIID	1262141	NAIC NPN	19705074

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	3/14/2023		9/30/2024
Pending Replacement	Non Resident	Agent	Life	3/14/2023		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	5/31/2024
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/31/2024
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	5/31/2024
Pending Replacement	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/8/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2023	5/7/2024
Pending Replacement	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/8/2024
Pending Replacement	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/11/2024
Pending Replacement	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/8/2024
Pending Replacement	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/16/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/8/2023	5/15/2024
Inactive	Humana Insurance Company	301104	Agent - Health	5/2/2023	5/15/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/13/2023	5/15/2024
Pending Replacement	Lumico Life Insurance Company	300354	Agent - Life	12/7/2023
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	5/31/2024
Pending Replacement	United of Omaha Life Insurance Company	300156	Agent - Health	1/10/2024
Pending Replacement	United of Omaha Life Insurance Company	300156	Agent - Life	1/10/2024
Pending Replacement	UnitedHealthcare Insurance Company	300946	Agent - Health	5/11/2024
Pending Replacement	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/11/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Life	12/7/2023	4/26/2024
Inactive	Trubridge Inc	717747	Agent - Health	8/14/2023	4/26/2024