DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, John William	DOIID	691596	NAIC NPN	8599710

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	12/1/2014	2/28/2026
Active	Non Resident	Agent	Life	12/9/2014	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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/30/2019
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/30/2019	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/30/2019	4/15/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	CareSource Kentucky Co.	838179	Agent - Health	12/15/2023	5/5/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/15/2009	2/28/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	12/15/2009	2/28/2010
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	2/28/2010
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/1/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/16/2021	12/12/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/11/2008	2/28/2010
Inactive	Humana Insurance Company	301104	Agent - Health	10/25/2021	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/11/2008	2/28/2010
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	6/16/2025
Active	SilverScript Insurance Company	663526	Agent - Health	9/5/2019
Inactive	Time Insurance Company	300683	Agent - Health	12/11/2014	11/23/2019
Inactive	Time Insurance Company	300683	Agent - Life	12/11/2014	11/23/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/27/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/27/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/27/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/27/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2019	12/28/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/30/2019	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/30/2019	2/10/2025
Active	Senior Solutions Insurance Agency	1092370	Agent - Health	8/5/2020
Active	Senior Solutions Insurance Agency	1092370	Agent - Life	8/5/2020