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DEPARTMENT OF INSURANCE
Affiliations
Name
Clark, Latrice D
DOIID
991094
NAIC NPN
18705799
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
9/12/2023
2/28/2026
Active
Non Resident
Agent
Health
9/12/2023
2/28/2026
* 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
10/10/2019
2/28/2022
Inactive
Aetna Health of Ohio Inc.
1065035
Agent - Health
1/29/2021
2/28/2022
Inactive
Aetna Life Insurance Company
301140
Agent - Health
10/10/2019
2/28/2022
Inactive
Anthem Life Insurance Company
301209
Agent - Health
12/13/2019
5/1/2020
Inactive
Anthem Life Insurance Company
301209
Agent - Life
12/13/2019
5/1/2020
Inactive
CIGNA Health & Life Insurance Company
301783
Agent - Health
7/26/2024
1/10/2025
Inactive
Columbian Life Insurance Company
300810
Agent - Life
6/29/2018
2/28/2022
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
10/15/2020
2/28/2022
Active
HealthSpring Life and Health Insurance Company, Inc.
684899
Agent - Health
11/7/2024
Active
Healthspring Healthcare of Colorado, Inc.
1098153
Agent - Health
11/7/2024
Inactive
Medco Containment Life Insurance Company
301557
Agent - Health
10/19/2023
1/22/2024
Inactive
Sierra Health and Life Insurance Company Inc.
300357
Agent - Health
7/4/2018
8/10/2018
Inactive
SilverScript Insurance Company
663526
Agent - Health
10/10/2019
2/28/2022
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
4/26/2018
2/28/2022
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
4/26/2018
2/28/2022
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
4/26/2018
10/1/2020
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
4/26/2018
10/1/2020
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
11/15/2018
7/6/2020
Inactive
UnitedHealthcare Insurance Company of America
301552
Agent - Health
11/15/2018
12/21/2018
Inactive
UnitedHealthcare Insurance Company of the River Valley
1027817
Agent - Health
8/6/2019
7/6/2020
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
11/15/2018
7/6/2020
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
11/15/2018
7/6/2020
Inactive
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
10/24/2019
12/28/2021
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
10/24/2019
12/29/2021
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Designated Agent Company Inc.
681257
Agent - Life
12/13/2019
2/28/2022
Inactive
Designated Agent Company Inc.
681257
Agent - Health
12/13/2019
2/28/2022
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