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DEPARTMENT OF INSURANCE
Affiliations
Name
Clark, Willis
DOIID
1366312
NAIC NPN
15894786
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Pending Replacement
Non Resident
Agent
Health
10/8/2024
2/28/2026
* 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
12/15/2025
02/28/2026
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
10/11/2024
2/2/2026
Inactive
Aetna Health of Ohio Inc.
1065035
Agent - Health
10/11/2024
2/2/2026
Inactive
Aetna Life Insurance Company
301140
Agent - Health
10/11/2024
2/2/2026
Inactive
Arcadian Health Plan, Inc.
728196
Agent - Health
12/5/2024
1/22/2026
Inactive
Care Improvement Plus South Central Insurance Company
799697
Agent - Health
10/8/2024
1/27/2026
Pending Replacement
Devoted Health Insurance Company of Kentucky, Inc.
1306593
Agent - Health
10/11/2024
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
3/20/2025
1/22/2026
Inactive
Humana Insurance Company
301104
Agent - Health
3/11/2025
1/22/2026
Inactive
Molina Healthcare of Kentucky, Inc.
1035856
Agent - Health
10/10/2025
2/5/2026
Inactive
SilverScript Insurance Company
663526
Agent - Health
10/11/2024
2/2/2026
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
10/8/2024
1/27/2026
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
10/8/2024
1/27/2026
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Unified Growth Partners
1338837
Agent - Health
10/17/2024
1/22/2026
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