DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Billie L	DOIID	378009	NAIC NPN	1493987

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/24/1995		10/31/2026
Active	Non Resident	Agent	Health	10/24/1995		10/31/2026
Inactive	Resident	Agent	Health Maintenance Organization	3/10/1999	3/1/2001
Denied	Resident	Life & Health Consultant	Not Applicable
* 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	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	10/24/1995	12/16/1998
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/24/1995	12/16/1998
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	3/6/2019	7/11/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/18/2016	12/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/27/2018	12/10/2018
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	10/6/2017
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	10/6/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/6/2019	7/11/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/6/2019	7/11/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	3/10/1999	3/1/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/18/2016	7/11/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/10/1999	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	5/13/2013	7/11/2019
Inactive	Humana Insurance Company	301104	Agent - Life	5/13/2013	7/11/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/28/2019	7/11/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/18/2016	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/6/2019	7/11/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	3/6/2019	7/11/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/13/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/13/2013	10/22/2015
Inactive	Life Insurance Company of North America	300711	Agent - Life	3/8/2016	1/6/2021
Active	Metropolitan Life Insurance Company	301948	Agent - Health	6/26/2013
Active	Metropolitan Life Insurance Company	301948	Agent - Life	6/26/2013
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	7/6/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/17/2011	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/17/2011	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/17/2011	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/17/2011	10/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	2/1/2008	3/31/2009
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	2/1/2008	3/31/2009
Active	Mercer Health & Benefits LLC	607080	Agent - Life	10/6/2017
Active	Mercer Health & Benefits LLC	607080	Agent - Health	7/6/2017
Active	Usi Insurance Services LLC	669260	Agent - Life	6/4/2019
Active	Usi Insurance Services LLC	669260	Agent - Health	7/6/2017