DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clevidence Ins Services Inc	DOIID	931180	NAIC NPN	7527083

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/29/2016	3/31/2022
Inactive	Non Resident	Agent	Health	9/29/2016	3/31/2022
* 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	11/1/2019	3/31/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/10/2020	3/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/1/2019	3/31/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/22/2016	1/14/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/22/2016	1/14/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/22/2016	1/14/2017
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/10/2018	3/31/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/31/2017	5/2/2022
Inactive	Omaha Insurance Company	751908	Agent - Health	1/31/2017	8/8/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/1/2019	3/31/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/31/2017	5/2/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/31/2017	5/2/2022
Inactive	Vision Service Plan Insurance Company	300526	Agent - Health	1/6/2017	3/31/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clevidence, Christopher Lawrence	554885	Agent - Health	9/29/2016	3/31/2022
Inactive	Clevidence, Christopher Lawrence	554885	Agent - Life	9/29/2016	3/31/2022