DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Devin	DOIID	1022883	NAIC NPN	18393035

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/18/2018		1/31/2026
Active	Non Resident	Agent	Health	12/18/2018		1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/5/2019	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/5/2019	4/15/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/21/2021	12/13/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/1/2020	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	3/20/2019	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Life	3/20/2019	12/15/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/20/2021	12/13/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/25/2020	12/15/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/15/2020	2/21/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	11/15/2020	2/21/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/15/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/15/2020	2/21/2022
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/13/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/13/2023

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	1/7/2019	4/15/2025
Active	Designated Agent Company Inc.	681257	Agent - Health	1/7/2019
Active	Gohealth LLC	691445	Agent - Health	2/15/2024