DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Kyle Edward	DOIID	814071	NAIC NPN	16987145

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/9/2013	7/31/2015
Inactive	Non Resident	Agent	Life	7/9/2013	7/31/2015
* 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	American Income Life Insurance Company	300256	Agent - Health	7/12/2013	10/3/2013
Inactive	American Income Life Insurance Company	300256	Agent - Life	7/12/2013	10/3/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/9/2013	11/1/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/9/2013	11/1/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/4/2013	12/5/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/4/2013	12/5/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/4/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/4/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	10/4/2013	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	10/4/2013	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/4/2013	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/4/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/4/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/4/2013	12/5/2014
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/11/2013	8/10/2015

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	10/9/2013	4/13/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/9/2013	7/31/2015