DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Michael	DOIID	963205	NAIC NPN	17433360

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/9/2017		3/31/2025
Active	Non Resident	Agent	Health	8/9/2017		3/31/2025
* 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
Active	All Savers Insurance Company	301940	Agent - Health	12/26/2023
Active	All Savers Insurance Company	301940	Agent - Life	12/26/2023
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	8/14/2017
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	8/14/2017
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	12/26/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	12/26/2023
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/26/2023
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/26/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gallagher Benefit Services Inc	525782	Agent - Health	4/5/2024
Active	Gallagher Benefit Services Inc	525782	Agent - Life	4/5/2024