DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Deneace Shanelle	DOIID	795853	NAIC NPN	16768066

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	6/19/2019		4/30/2028
Active	Non Resident	Agent	Health	7/24/2017		4/30/2028
Inactive	Non Resident	Agent	Life	10/15/2014	4/30/2016
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/29/2022	8/1/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/15/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	11/15/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/1/2019	11/5/2019
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	1/9/2015	1/29/2016
Active	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	6/22/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/20/2014	2/18/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/21/2014	2/18/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/21/2014	2/18/2016
Inactive	Humana Insurance Company	301104	Agent - Health	2/26/2019	8/20/2019
Inactive	Humana Insurance Company	301104	Agent - Life	10/21/2014	2/18/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/21/2014	2/18/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/21/2014	2/18/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/9/2014	2/18/2016
Inactive	New York Life Insurance Company	300431	Agent - Life	7/24/2015	11/11/2015
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	9/29/2019	9/7/2021
Active	SilverScript Insurance Company	663526	Agent - Health	11/15/2025
Active	USAA Casualty Insurance Company	300995	Agent - Personal Lines	6/22/2019
Active	USAA General Indemnity Company	300131	Agent - Personal Lines	6/22/2019
Active	USAA Life Insurance Company	300734	Agent - Health	8/29/2022
Active	United Services Automobile Association	300158	Agent - Personal Lines	6/22/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/11/2019	9/7/2021
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	7/4/2018	12/11/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/11/2019	9/7/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/11/2019	9/7/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/4/2012	12/19/2012
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2019	9/7/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Alorica Customer Care, Inc.	800938	Agent - Health
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/5/2019	11/5/2019
Active	TTEC Healthcare Solutions, Inc.	814587	Agent - Health	10/10/2022
Active	Ttec Financial Services Management LLC	881063	Agent - Personal Lines	8/7/2019