PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameClark, Michael BrianDOIID645098NAIC NPN8970245
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife11/29/200611/30/2020 
InactiveNon ResidentAgentHealth11/29/200611/30/2020 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCompBenefits Dental, Inc.591692Agent - Health2/27/201412/5/2014
InactiveDental Concern Inc. (The)301641Agent - Health2/27/201412/5/2014
InactiveFreedom Life Insurance Company of America300074Agent - Health3/23/201010/7/2020
InactiveFreedom Life Insurance Company of America300074Agent - Life3/23/201010/7/2020
InactiveHumana Health Plan, Inc.300142Agent - Health2/27/201412/5/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health2/27/201412/5/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/27/201412/5/2014
InactiveKanawha Insurance Company300127Agent - Health2/27/201412/5/2014
InactiveKanawha Insurance Company300127Agent - Life2/27/201412/5/2014
InactiveMEGA Life and Health Insurance Company (The)300751Agent - Health12/1/200611/13/2008
InactiveMEGA Life and Health Insurance Company (The)300751Agent - Life12/1/200611/13/2008
InactiveTime Insurance Company300683Agent - Health8/18/201411/22/2019
InactiveTime Insurance Company300683Agent - Life8/18/201411/22/2019
InactiveUnited American Insurance Company300910Agent - Health11/26/201312/23/2016
InactiveUnited American Insurance Company300910Agent - Life11/26/201312/23/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveSmall Business Ins Advisors Inc801305Agent - Health1/12/201310/7/2020
InactiveSmall Business Ins Advisors Inc801305Agent - Life1/12/201310/7/2020
InactiveUshealth Advisors Llc713288Agent - Health11/15/201210/7/2020
InactiveUshealth Advisors Llc713288Agent - Life7/11/201110/7/2020

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