DEPARTMENT OF INSURANCE

Affiliations

Name	Adams, Clyde Shelley	DOIID	378041	NAIC NPN	6521805

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	2/12/2015	1/1/2023
Inactive	Resident	Agent	Health Maintenance Organization	12/31/1999	3/1/2001
Inactive	Resident	Agent	Life	2/12/2015	1/1/2023
* 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	Acacia Life Insurance Company	300375	Agent - Health	3/23/2009	12/13/2010
Inactive	Acacia Life Insurance Company	300375	Agent - Life	3/23/2009	12/13/2010
Inactive	Aetna Health Inc.	300694	Agent - Health	5/2/2006	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/21/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/2/2006	9/21/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/2/2006	9/21/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/12/2015	9/29/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/12/2015	9/29/2022
Inactive	American Fidelity Assurance Company	301004	Agent - Health	1/24/2005	9/7/2005
Inactive	American Fidelity Assurance Company	301004	Agent - Life	1/24/2005	9/7/2005
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	1/11/2019	1/1/2023
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	1/11/2019	1/1/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	1/1/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	1/1/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/13/2016	1/1/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/13/2016	1/1/2023
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	7/19/2016	10/20/2017
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	7/19/2016	10/20/2017
Inactive	Augustar Life Insurance Company	301816	Agent - Life	7/19/2016	10/20/2017
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	3/1/2001	1/1/2015
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health Maintenance Organization	12/31/1999	3/1/2001
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	10/5/2017	8/15/2018
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	10/5/2017	8/15/2018
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	2/14/2018	9/10/2020
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	2/14/2018	9/10/2020
Inactive	Columbian Life Insurance Company	300810	Agent - Life	2/12/2015	1/2/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/2/2016	12/13/2016
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	1/1/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/24/2006	12/11/2008
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/24/2006	12/11/2008
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/2/2016	12/13/2016
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/11/2016	5/16/2018
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/2/1998	9/15/1998
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/7/2016	6/25/2018
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/7/2016	6/25/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/27/2016	12/13/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/27/2016	12/14/2018
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	11/15/2017	8/15/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	10/5/2017	8/15/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	10/5/2017	8/15/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/9/2016	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Health	6/2/2016	4/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	6/2/2016	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/4/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/9/2016	12/13/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/11/2012	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/11/2012	5/13/2013
Inactive	Indianapolis Life Insurance Company	301381	Agent - Health	10/8/1998	10/31/2003
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	10/8/1998	10/31/2003
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/23/2002	10/1/2003
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	9/23/2002	10/1/2003
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	7/1/2016	12/29/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	7/1/2016	12/29/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/18/2011	7/14/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/18/2011	7/14/2014
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	1/9/2018	1/1/2023
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	1/9/2018	1/1/2023
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	3/27/2006	12/22/2008
Inactive	National Health Insurance Company	300554	Agent - Health	5/10/2016	1/1/2023
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	1/3/2017	12/17/2020
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	1/3/2017	12/17/2020
Inactive	Principal Life Insurance Company	300129	Agent - Health	10/15/2001	12/1/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/15/2001	12/1/2008
Inactive	Principal National Life Insurance Company	301926	Agent - Life	10/7/2016	1/1/2023
Inactive	Pruco Life Insurance Company	300954	Agent - Health	12/6/2007	1/14/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Life	12/6/2007	1/14/2008
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	4/11/2006	3/18/2011
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	4/11/2006	3/18/2011
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	3/21/2006	5/16/2007
Inactive	Standard Insurance Company	300185	Agent - Health	10/6/2016	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Life	10/6/2016	12/5/2022
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	6/13/2016	12/26/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	6/13/2016	12/26/2018
Inactive	Time Insurance Company	300683	Agent - Health	2/16/2015	11/22/2019
Inactive	Time Insurance Company	300683	Agent - Life	2/16/2015	11/22/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/16/2007	5/4/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/16/2007	5/4/2009
Inactive	Union Central Life Insurance Company	300307	Agent - Health	12/21/2010	12/31/2012
Inactive	Union Central Life Insurance Company	300307	Agent - Life	12/21/2010	12/31/2012
Inactive	United American Insurance Company	300910	Agent - Health	3/25/2006	1/2/2007
Inactive	United American Insurance Company	300910	Agent - Life	3/25/2006	1/2/2007
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/29/2015	11/21/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/29/2015	11/21/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/27/2016	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	6/27/2016	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/9/2005	1/1/2015
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	12/31/1999	3/1/2001
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/29/2015	11/21/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/13/2016	1/1/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/13/2016	1/1/2023
Inactive	Medlink Inc	400721	Agent - Health	2/17/2015	1/1/2023
Inactive	Medlink Inc	400721	Agent - Life	2/17/2015	1/1/2023
Inactive	Planchoice Inc.	400482	Agent - Health	5/16/2016	1/1/2023
Inactive	Planchoice Inc.	400482	Agent - Life	5/16/2016	1/1/2023