DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Fred D	DOIID	689735	NAIC NPN	7323271

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	3/30/2021	5/31/2026
Active	Non Resident	Agent	Property	3/30/2021	5/31/2026
Active	Non Resident	Agent	Health	3/30/2021	5/31/2026
Active	Non Resident	Agent	Casualty	3/30/2021	5/31/2026
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/3/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/6/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/6/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/3/2021	3/31/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/3/2021	3/31/2025
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/18/2014	8/2/2016
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	11/18/2014	8/2/2016
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/18/2020	5/31/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/3/2014	12/8/2015
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/6/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/3/2014	12/8/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/26/2020	5/31/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/26/2020	5/31/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/3/2014	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/3/2014	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/3/2014	12/8/2015
Inactive	Independence American Insurance Company	524747	Agent - Health	5/11/2017	5/31/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/3/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/3/2014	10/22/2015
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	8/14/2018	5/31/2020
Active	Standard Insurance Company	300185	Agent - Health	12/30/2024
Active	Standard Insurance Company	300185	Agent - Life	12/30/2024
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	12/11/2017	12/26/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	12/11/2017	12/26/2018
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	4/8/2015	8/2/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	4/8/2015	8/2/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/25/2015	8/2/2016

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	10/17/2017	5/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/17/2017	5/31/2020
Inactive	Gethealthinsurance Com Agency Inc	657389	Agent - Health	7/11/2016	8/2/2016
Inactive	Gethealthinsurance Com Agency Inc	657389	Agent - Life	7/11/2016	8/2/2016
Inactive	Medlink Inc	400721	Agent - Health	6/27/2016	8/2/2016
Inactive	Medlink Inc	400721	Agent - Life	6/27/2016	8/2/2016