DEPARTMENT OF INSURANCE
Affiliations
NameClark, Michael EugeneDOIID898088NAIC NPN2540520
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth11/5/2015 2/28/2026
ActiveNon ResidentAgentLife11/5/2015 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent12/15/202502/28/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health9/10/2019 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
ActiveAetna Life Insurance Company301140Agent - Health12/16/2015 
ActiveAetna Life Insurance Company301140Agent - Life12/16/2015 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/21/2021 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/11/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health10/11/2021 
InactiveAnthem Life Insurance Company301209Agent - Health5/10/20174/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life5/10/20174/15/2025
ActiveCHA HMO, Inc.300662Agent - Health6/9/2025 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCompBenefits Dental, Inc.591692Agent - Health11/9/201512/13/2016
ActiveCompBenefits Insurance Company301864Agent - Health12/30/2021 
ActiveCompBenefits Insurance Company301864Agent - Life12/30/2021 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health10/11/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
InactiveDental Concern Inc. (The)301641Agent - Health11/9/201512/13/2016
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health8/21/2024 
InactiveEssence Healthcare, Inc.657425Agent - Health10/7/202212/24/2024
ActiveFirst Health Life & Health Insurance Company301735Agent - Health12/16/2015 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health2/26/20164/20/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health2/26/20162/23/2018
ActiveHumana Health Plan, Inc.300142Agent - Health2/7/2025 
InactiveHumana Insurance Company301104Agent - Health10/25/202112/12/2024
InactiveHumana Insurance Company301104Agent - Life2/26/20164/20/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health2/26/20164/20/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/26/20164/20/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health9/26/202312/12/2024
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20164/20/2018
ActiveSilverScript Insurance Company663526Agent - Health9/17/2019 
ActiveUnitedHealthcare Insurance Company300946Agent - Health11/5/2015 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/16/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health11/5/201512/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health11/5/2015 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/201912/28/2021
ActiveWellCare Prescription Insurance Inc.654329Agent - Health3/8/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life5/10/20172/10/2025
InactiveDesignated Agent Company Inc.681257Agent - Health5/10/20172/10/2025
ActiveStrategic Growth Ins Assoc Inc898363Agent - Life11/10/2015 
ActiveStrategic Growth Ins Assoc Inc898363Agent - Health12/11/2015 

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