DEPARTMENT OF INSURANCE
Affiliations
NameClark, Gregory PaulDOIID829685NAIC NPN17138616
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth1/23/20142/29/2016 
InactiveResidentAgentLife1/23/20142/29/2016 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health8/27/20142/29/2016
InactiveAetna Health Insurance Company301583Agent - Health8/27/20142/29/2016
InactiveAetna Life Insurance Company301140Agent - Health8/27/20142/29/2016
InactiveAetna Life Insurance Company301140Agent - Life8/27/20142/29/2016
InactiveAnthem Life Insurance Company301209Agent - Health8/6/20142/29/2016
InactiveAnthem Life Insurance Company301209Agent - Life8/6/20142/29/2016
InactiveCompBenefits Dental, Inc.591692Agent - Health8/11/201412/8/2015
InactiveCoventry Health and Life Insurance Company301771Agent - Health9/30/20142/29/2016
InactiveCoventry Health and Life Insurance Company301771Agent - Life9/30/20142/29/2016
InactiveDental Concern Inc. (The)301641Agent - Health8/11/201412/8/2015
InactiveFirst Health Life & Health Insurance Company301735Agent - Health8/27/20142/29/2016
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/13/20142/29/2016
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health8/27/20142/29/2016
InactiveHumana Health Plan, Inc.300142Agent - Health8/11/20142/29/2016
InactiveHumana Insurance Company301104Agent - Health8/11/20142/29/2016
InactiveHumana Insurance Company301104Agent - Life8/11/20142/29/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Health8/11/20142/29/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Life8/11/20142/29/2016
InactiveHumana Medical Plan, Inc.801568Agent - Health10/13/20142/29/2016
InactiveKanawha Insurance Company300127Agent - Health8/11/201411/3/2015
InactiveKanawha Insurance Company300127Agent - Life8/11/201411/3/2015
InactiveLincoln National Life Insurance Company (The)301382Agent - Health9/3/20143/22/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Life9/3/20143/22/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/14/20142/29/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life9/2/20144/8/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/2/20142/29/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/14/20142/29/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/12/20152/29/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCBISA Reaquisitian Corp547026Agent - Life8/19/20142/29/2016
InactiveCBISA Reaquisitian Corp547026Agent - Health8/19/20142/29/2016
InactiveDesignated Agent Company Inc.681257Agent - Life8/6/20142/29/2016
InactiveDesignated Agent Company Inc.681257Agent - Health8/6/20142/29/2016

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