DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Billie L	DOIID	378009	NAIC NPN	1493987

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/24/1995		10/31/2026
Active	Non Resident	Agent	Health	10/24/1995		10/31/2026
Inactive	Resident	Agent	Health Maintenance Organization	3/10/1999	3/1/2001
Denied	Resident	Life & Health Consultant	Not Applicable
* 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
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	10/24/1995	12/16/1998
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/24/1995	12/16/1998
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	3/6/2019	7/11/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/18/2016	12/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/27/2018	12/10/2018
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	10/6/2017
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	10/6/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/6/2019	7/11/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/6/2019	7/11/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	3/10/1999	3/1/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/18/2016	7/11/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/10/1999	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	5/13/2013	7/11/2019
Inactive	Humana Insurance Company	301104	Agent - Life	5/13/2013	7/11/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/28/2019	7/11/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/18/2016	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/6/2019	7/11/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	3/6/2019	7/11/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/13/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/13/2013	10/22/2015
Inactive	Life Insurance Company of North America	300711	Agent - Life	3/8/2016	1/6/2021
Active	Metropolitan Life Insurance Company	301948	Agent - Health	6/26/2013
Active	Metropolitan Life Insurance Company	301948	Agent - Life	6/26/2013
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	7/6/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/17/2011	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/17/2011	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/17/2011	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/17/2011	10/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	2/1/2008	3/31/2009
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	2/1/2008	3/31/2009
Active	Mercer Health & Benefits LLC	607080	Agent - Life	10/6/2017
Active	Mercer Health & Benefits LLC	607080	Agent - Health	7/6/2017
Active	Usi Insurance Services LLC	669260	Agent - Life	6/4/2019
Active	Usi Insurance Services LLC	669260	Agent - Health	7/6/2017