DEPARTMENT OF INSURANCE
Affiliations
NameClifton, Mosenique DOIID848075NAIC NPN17328189
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth10/28/2019 4/30/2027
ActiveNon ResidentAgentLife10/28/2019 4/30/2027
* 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
InactiveAccendo Insurance Company300312Agent - Health4/5/202311/17/2023
ActiveAccendo Insurance Company300312Agent - Life5/26/2022 
ActiveAetna Health Inc. (PA)660717Agent - Health6/1/2022 
ActiveAetna Health and Life Insurance Company300523Agent - Health5/26/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health6/1/2022 
ActiveAetna Life Insurance Company301140Agent - Health6/1/2022 
InactiveAetna Life Insurance Company301140Agent - Life9/11/20159/21/2017
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/30/2024 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health6/24/202112/24/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/30/2024 
InactiveAnthem Life Insurance Company301209Agent - Health12/22/20201/7/2021
InactiveAnthem Life Insurance Company301209Agent - Life12/22/20201/7/2021
ActiveArcadian Health Plan, Inc.728196Agent - Health11/21/2022 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health4/21/2024 
InactiveCompBenefits Dental, Inc.591692Agent - Health9/16/201512/10/2015
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/30/2024 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health5/26/2022 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life5/26/2022 
InactiveCoventry Health and Life Insurance Company301771Agent - Health1/8/20169/21/2017
ActiveDental Concern Inc. (The)301641Agent - Health6/16/2025 
InactiveFirst Health Life & Health Insurance Company301735Agent - Health9/11/20159/21/2017
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health11/9/2022 
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health11/4/202212/12/2024
InactiveHumana Health Plan, Inc.300142Agent - Health9/16/201512/10/2015
ActiveHumana Insurance Company301104Agent - Health10/19/2022 
InactiveHumana Insurance Company301104Agent - Life9/21/201512/10/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/16/201512/10/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life9/21/201512/10/2015
InactiveHumana Medical Plan, Inc.801568Agent - Health9/16/201512/10/2015
InactiveKanawha Insurance Company300127Agent - Health9/16/201510/22/2015
InactiveKanawha Insurance Company300127Agent - Life9/21/201510/22/2015
ActiveSilverScript Insurance Company663526Agent - Health6/1/2022 
InactiveStandard Life and Accident Insurance Company301534Agent - Health9/24/20184/30/2019
ActiveUnitedHealthcare Insurance Company300946Agent - Health4/21/2024 
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health9/14/20151/7/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health4/21/2024 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health9/2/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health11/7/201912/11/2020
InactiveDesignated Agent Company Inc.681257Agent - Life11/7/201912/11/2020

© Commonwealth of Kentucky. All rights reserved.