DEPARTMENT OF INSURANCE

Affiliations

Name	House, Clyde Jerome	DOIID	785412	NAIC NPN	1442339

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/4/2012	6/30/2020
Inactive	Non Resident	Agent	Health	7/4/2012	6/30/2020
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/20/2018	6/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/20/2018	6/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/20/2018	6/30/2020
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	7/21/2012	12/18/2018
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/24/2013	10/20/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/17/2013	5/4/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/17/2013	5/4/2015
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	9/28/2012	6/12/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/20/2018	6/30/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	5/4/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/17/2013	5/4/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/17/2013	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/17/2013	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Life	10/17/2013	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/17/2013	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/17/2013	5/4/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	5/4/2015
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/15/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/17/2013	5/4/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/17/2013	5/4/2015
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/17/2019	6/30/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/13/2012	12/18/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/13/2012	12/18/2015
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015	12/18/2015
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/27/2019	6/30/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/27/2019	6/30/2020

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 - Life	10/24/2013	10/17/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/24/2013	10/17/2018