DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Patrea G	DOIID	1168163	NAIC NPN	19442812

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/21/2021		6/30/2025
Active	Non Resident	Agent	Life	10/21/2021		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/9/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/9/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	10/9/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	10/24/2022	7/7/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	10/24/2022	7/7/2024
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/1/2022	6/7/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/21/2023	5/16/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/28/2024
Active	SilverScript Insurance Company	663526	Agent - Health	10/9/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/21/2023	5/16/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/21/2023	5/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	8/30/2023	5/24/2024
Denied	Health Iq Insurance Services, Inc	882220	Agent - Life