DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Bennie Faye	DOIID	1132122	NAIC NPN	18781070

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/3/2025		11/30/2026
Inactive	Non Resident	Agent	Life	4/29/2021	11/30/2024
* 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	09/15/2026	11/30/2026

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	9/29/2021
Inactive	Accendo Insurance Company	300312	Agent - Life	8/12/2021	9/29/2021
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/24/2021	7/14/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/12/2021	9/29/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/9/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	9/9/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/18/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/12/2021	9/29/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/12/2021	9/29/2021
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	5/4/2021	6/16/2021
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	5/4/2021	6/16/2021
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/18/2025
Active	SilverScript Insurance Company	663526	Agent - Health	9/9/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/18/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/4/2022	12/16/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/18/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	5/4/2021	6/16/2021
Inactive	Ushealth Advisors Llc	713288	Agent - Health	5/4/2021	6/16/2021