DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Rob Ayres	DOIID	504662	NAIC NPN	3531932

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/1/2018		8/31/2026
Active	Non Resident	Agent	Life	11/1/2018		8/31/2026
* 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	06/15/2024	08/31/2024	06/04/2024	06/04/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/26/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/26/2019
Active	Elips Life Insurance Company	301087	Agent - Health	4/14/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Health	12/19/2018	2/17/2023
Active	Lumico Life Insurance Company	300354	Agent - Life	12/19/2018
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Health	4/5/2000	7/6/2001
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Life	4/5/2000	7/6/2001
Active	SilverScript Insurance Company	663526	Agent - Health	9/26/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/21/2019	12/28/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/21/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	LPL FINANCIAL LLC	399327	Agent - Life	3/3/2021
Active	LPL FINANCIAL LLC	399327	Agent - Health	3/3/2021
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Life	5/19/2000	7/6/2001
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Health	5/19/2000	7/6/2001