PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameClark, Benjamin EdwardDOIID707809NAIC NPN11300737
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth10/20/2014 12/31/2025
ActiveNon ResidentAgentLife10/20/2014 12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent10/15/202512/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health10/8/2019 
ActiveAetna Health and Life Insurance Company300523Agent - Health7/18/2017 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health10/7/2019 
InactiveAmerican Continental Insurance Company643130Agent - Life7/18/201712/6/2021
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/14/2025 
InactiveAnthem Life Insurance Company301209Agent - Health9/22/20164/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life9/22/20164/15/2025
InactiveArcadian Health Plan, Inc.728196Agent - Health8/24/202012/12/2024
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveChesapeake Life Insurance Company (The)301017Agent - Health10/22/20142/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life10/22/20142/3/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health12/3/20156/15/2018
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health7/18/2017 
InactiveDental Concern Inc. (The)301641Agent - Health12/3/20156/15/2018
ActiveGolden Rule Insurance Company301943Agent - Health1/8/2025 
ActiveGolden Rule Insurance Company301943Agent - Life1/8/2025 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health12/3/201512/19/2019
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health12/3/20152/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health12/3/20156/15/2018
ActiveHumana Insurance Company301104Agent - Health2/11/2025 
InactiveHumana Insurance Company301104Agent - Life12/3/201512/19/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health12/3/20156/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life12/3/20156/15/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health12/3/20156/15/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20166/15/2018
InactiveKanawha Insurance Company300127Agent - Health10/23/20148/1/2015
InactiveKanawha Insurance Company300127Agent - Life10/23/20148/1/2015
InactiveS.USA Life Insurance Company, Inc.301774Agent - Life7/25/20176/24/2019
ActiveSierra Health and Life Insurance Company Inc.300357Agent - Health11/11/2024 
ActiveSilverScript Insurance Company663526Agent - Health10/7/2019 
InactiveUnited American Insurance Company300910Agent - Health12/7/20098/19/2010
ActiveUnitedHealthcare Insurance Company300946Agent - Health3/13/2019 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health11/12/201511/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life11/12/201511/4/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/13/201912/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health3/13/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDesignated Agent Company Inc.681257Agent - Health9/23/2016 
ActiveDesignated Agent Company Inc.681257Agent - Life9/23/2016 
ActiveHealthMarkets Insurance Agency Inc709727Agent - Health10/23/2014 
ActiveHealthMarkets Insurance Agency Inc709727Agent - Life10/22/2014 

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