DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Willis	DOIID	1366312	NAIC NPN	15894786

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/8/2024		2/28/2026
* 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	12/15/2025	02/28/2026

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	10/11/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/11/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	10/11/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	12/5/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/8/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/11/2024
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/20/2025
Active	Humana Insurance Company	301104	Agent - Health	3/11/2025
Active	SilverScript Insurance Company	663526	Agent - Health	10/11/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/8/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/8/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Unified Growth Partners	1338837	Agent - Health	10/17/2024