DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Peter	DOIID	837780	NAIC NPN	2656303

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/7/2014	2/28/2022
Inactive	Non Resident	Agent	Life	4/7/2014	2/28/2022
* 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	7/21/2016	1/4/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/21/2016	1/4/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/21/2016	1/4/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/27/2016	12/19/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/21/2016	1/4/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/25/2016	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/25/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/25/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	7/25/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	7/25/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/25/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/25/2016	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/25/2016	6/8/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	1/4/2020
Inactive	USAA Life Insurance Company	300734	Agent - Health	4/11/2014	4/5/2021
Inactive	USAA Life Insurance Company	300734	Agent - Life	4/11/2014	4/5/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/11/2021	4/21/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/11/2021	4/21/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019	5/13/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Health	4/14/2014	11/6/2019
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Life	4/14/2014	11/6/2019
Inactive	USAA Life General Agency Inc	399318	Agent - Health	7/6/2016	5/13/2021
Inactive	USAA Life General Agency Inc	399318	Agent - Life	7/6/2016	4/21/2021