DEPARTMENT OF INSURANCE
Affiliations
NameClark, Chester GDOIID1139968NAIC NPN15734188
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth6/16/2021 6/30/2026
ActiveNon ResidentAgentLife6/16/2021 6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Life6/24/20213/25/2023
ActiveAetna Health Inc. (PA)660717Agent - Health7/14/2021 
InactiveAetna Health and Life Insurance Company300523Agent - Health6/24/20213/25/2023
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/14/2021 
ActiveAetna Life Insurance Company301140Agent - Health7/14/2021 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/22/2021 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/20214/22/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health4/23/2024 
InactiveAnthem Life Insurance Company301209Agent - Health5/11/20224/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life5/11/20224/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health2/3/2025 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health4/18/2024 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health4/23/2024 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health6/24/20213/25/2023
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life6/24/20213/25/2023
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/23/2024 
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life12/30/2024 
InactiveGreat Southern Life Insurance Company301443Agent - Health6/26/202112/11/2023
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health7/5/20234/16/2024
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health8/30/20224/16/2024
ActiveHumana Insurance Company301104Agent - Health3/20/2025 
InactiveHumana Medical Plan, Inc.801568Agent - Health11/3/20224/16/2024
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health12/15/20224/16/2024
ActiveSilverScript Insurance Company663526Agent - Health7/14/2021 
ActiveTier One Insurance Company301056Agent - Health2/11/2025 
ActiveTier One Insurance Company301056Agent - Life2/11/2025 
ActiveUnitedHealthcare Insurance Company300946Agent - Health4/18/2024 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health9/11/202212/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/18/202112/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health4/18/2024 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health1/17/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHealth Iq Insurance Services, Inc882220Agent - Life9/21/20213/2/2023
InactiveHealth Iq Insurance Services, Inc882220Agent - Health9/21/20213/2/2023

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