DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Charles D	DOIID	1010647	NAIC NPN	18915583

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/19/2018		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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/27/2018
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/10/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	11/27/2018
Inactive	American General Life Insurance Company	301585	Agent - Health	1/10/2025	2/7/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/28/2023	12/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/28/2023	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/28/2023	12/16/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	3/20/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	12/3/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/28/2023	12/16/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/10/2019
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/17/2024
Active	First Health Life & Health Insurance Company	301735	Agent - Health	11/27/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/13/2018	6/24/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/6/2019	12/19/2019
Active	Humana Insurance Company	301104	Agent - Health	3/13/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/15/2019	12/15/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/14/2020	6/24/2021
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/14/2022
Active	Physicians Life Insurance Company	300924	Agent - Health	10/30/2024
Active	SilverScript Insurance Company	663526	Agent - Health	3/19/2019
Active	Tier One Insurance Company	301056	Agent - Health	8/24/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	5/21/2019	8/1/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	12/3/2024
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	11/12/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	3/5/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/12/2018	3/5/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	12/3/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/7/2018
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/10/2018

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 - Health	10/13/2018	4/29/2021
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	10/13/2018	3/9/2021