DEPARTMENT OF INSURANCE
Affiliations
NameClark, Deneace ShanelleDOIID795853NAIC NPN16768066
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife10/15/20144/30/2016 
Pending ReplacementNon ResidentAgentHealth7/24/2017 4/30/2026
Pending ReplacementNon ResidentAgentPersonal Lines6/19/2019 4/30/2026
* 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
Agent02/15/202604/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health8/29/20228/1/2025
InactiveAetna Health of Ohio Inc.1065035Agent - Health8/29/20228/1/2025
InactiveAetna Life Insurance Company301140Agent - Health8/29/20228/1/2025
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health2/1/201911/5/2019
InactiveBrighthouse Life Insurance Company301829Agent - Life1/9/20151/29/2016
Pending ReplacementGarrison Property and Casualty Insurance Company301957Agent - Personal Lines6/22/2019 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health11/20/20142/18/2016
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/21/20142/18/2016
InactiveHumana Health Plan, Inc.300142Agent - Health10/21/20142/18/2016
InactiveHumana Insurance Company301104Agent - Health2/26/20198/20/2019
InactiveHumana Insurance Company301104Agent - Life10/21/20142/18/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/21/20142/18/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/21/20142/18/2016
InactiveHumana Medical Plan, Inc.801568Agent - Health12/9/20142/18/2016
InactiveNew York Life Insurance Company300431Agent - Life7/24/201511/11/2015
InactiveSierra Health and Life Insurance Company Inc.300357Agent - Health9/29/20199/7/2021
InactiveSilverScript Insurance Company663526Agent - Health8/29/20228/1/2025
Pending ReplacementUSAA Casualty Insurance Company300995Agent - Personal Lines6/22/2019 
Pending ReplacementUSAA General Indemnity Company300131Agent - Personal Lines6/22/2019 
Pending ReplacementUSAA Life Insurance Company300734Agent - Health8/29/2022 
Pending ReplacementUnited Services Automobile Association300158Agent - Personal Lines6/22/2019 
InactiveUnitedHealthcare Insurance Company300946Agent - Health9/11/20199/7/2021
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health7/4/201812/11/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health9/11/20199/7/2021
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/11/20199/7/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health12/4/201212/19/2012
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/11/20199/7/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAlorica Customer Care, Inc.800938Agent - Health  
InactiveDesignated Agent Company Inc.681257Agent - Health2/5/201911/5/2019
Pending ReplacementTtec Financial Services Management LLC881063Agent - Personal Lines8/7/2019 
Pending ReplacementTtec Healthcare Solutions, Inc.814587Agent - Health10/10/2022 

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