DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, John William	DOIID	691596	NAIC NPN	8599710

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	12/1/2014	2/28/2026
Active	Non Resident	Agent	Life	12/9/2014	2/28/2026
* 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
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	9/10/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/30/2019
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/30/2019	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/30/2019	4/15/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	CareSource Kentucky Co.	838179	Agent - Health	12/15/2023	5/5/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/15/2009	2/28/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	12/15/2009	2/28/2010
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	2/28/2010
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/1/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/16/2021	12/12/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/11/2008	2/28/2010
Inactive	Humana Insurance Company	301104	Agent - Health	10/25/2021	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/11/2008	2/28/2010
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	6/16/2025
Active	SilverScript Insurance Company	663526	Agent - Health	9/5/2019
Inactive	Time Insurance Company	300683	Agent - Health	12/11/2014	11/23/2019
Inactive	Time Insurance Company	300683	Agent - Life	12/11/2014	11/23/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/27/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/27/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/27/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/27/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2019	12/28/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019

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	8/30/2019	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/30/2019	2/10/2025
Active	Senior Solutions Insurance Agency	1092370	Agent - Health	8/5/2020
Active	Senior Solutions Insurance Agency	1092370	Agent - Life	8/5/2020