DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark Jr, Richard Lewis	DOIID	1286056	NAIC NPN	20296302

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/18/2023		10/31/2025
Active	Non Resident	Agent	Life	5/21/2025		10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/2/2023	10/29/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/2/2023	10/29/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/2/2023	10/29/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/18/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/18/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/18/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/16/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/18/2023
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	5/28/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/18/2023
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/8/2024
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/12/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/29/2023	12/12/2024
Active	Humana Insurance Company	301104	Agent - Health	2/19/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/30/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/2/2023	10/29/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/18/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/18/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	e-Telequote Insurance, Inc.	687772	Agent - Health	4/15/2025