DEPARTMENT OF INSURANCE
Affiliations
NameClark, David LDOIID1134359NAIC NPN19900365
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth9/18/2023 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent11/15/202501/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health10/26/20239/10/2024
InactiveAetna Health and Life Insurance Company300523Agent - Health6/9/20215/31/2023
InactiveAetna Health of Ohio Inc.1065035Agent - Health10/26/20239/10/2024
InactiveAetna Life Insurance Company301140Agent - Health10/26/20239/10/2024
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/31/2023 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/31/202312/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health10/31/2023 
InactiveArcadian Health Plan, Inc.728196Agent - Health1/31/20225/24/2022
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/20222/21/2023
ActiveCompcare Health Services Insurance Corporation948751Agent - Health10/31/2023 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health6/9/20215/31/2023
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health8/5/2024 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health2/2/20225/24/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health6/16/20215/24/2022
InactiveHumana Insurance Company301104Agent - Health5/9/20225/24/2022
InactiveHumana Medical Plan, Inc.801568Agent - Health10/25/20215/24/2022
InactiveSilverScript Insurance Company663526Agent - Health10/26/20239/10/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Health5/20/20212/21/2023
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health5/20/202112/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health5/20/202112/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health5/20/20212/21/2023
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health9/30/2023 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGohealth LLC691445Agent - Health4/26/20244/17/2025

© Commonwealth of Kentucky. All rights reserved.