DEPARTMENT OF INSURANCE
Affiliations
NameClark, Charles DDOIID1010647NAIC NPN18915583
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentHealth9/19/2018 2/28/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent12/15/202502/28/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
Pending ReplacementAetna Health Inc. (PA)660717Agent - Health11/27/2018 
InactiveAetna Health and Life Insurance Company300523Agent - Health1/10/201912/19/2025
Pending ReplacementAetna Health of Ohio Inc.1065035Agent - Health7/29/2020 
Pending ReplacementAetna Life Insurance Company301140Agent - Health11/27/2018 
InactiveAmerican General Life Insurance Company301585Agent - Health1/10/20252/7/2025
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/28/202312/16/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health6/28/202312/16/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/28/202312/16/2024
Pending ReplacementArcadian Health Plan, Inc.728196Agent - Health3/20/2025 
Pending ReplacementCare Improvement Plus South Central Insurance Company799697Agent - Health12/3/2024 
InactiveCompcare Health Services Insurance Corporation948751Agent - Health6/28/202312/16/2024
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health1/10/201912/19/2025
Pending ReplacementDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/17/2024 
Pending ReplacementFirst Health Life & Health Insurance Company301735Agent - Health11/27/2018 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health12/13/20186/24/2021
InactiveHumana Health Plan, Inc.300142Agent - Health6/6/201912/19/2019
Pending ReplacementHumana Insurance Company301104Agent - Health3/13/2023 
InactiveHumana Medical Plan, Inc.801568Agent - Health2/15/201912/15/2020
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health4/14/20206/24/2021
InactiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health10/14/202212/31/2025
Pending ReplacementPhysicians Life Insurance Company300924Agent - Health10/30/2024 
Pending ReplacementSilverScript Insurance Company663526Agent - Health3/19/2019 
Pending ReplacementTier One Insurance Company301056Agent - Health8/24/2023 
InactiveUnited World Life Insurance Company300532Agent - Health5/21/20198/1/2020
Pending ReplacementUnitedHealthcare Insurance Company300946Agent - Health12/3/2024 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health11/12/201812/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/6/20193/5/2021
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health11/12/20183/5/2021
Pending ReplacementUnitedHealthcare of Wisconsin, Inc.871491Agent - Health12/3/2024 
Pending ReplacementWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/7/2018 
Pending ReplacementWellCare Prescription Insurance Inc.654329Agent - Health12/10/2018 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health10/13/20184/29/2021
InactiveeHealthInsurance Services Inc.514105Agent - Health10/13/20183/9/2021

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