DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Constance Susan	DOIID	1157941	NAIC NPN	2284365

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/10/2021	6/30/2024
Inactive	Non Resident	Agent	Life	9/10/2021	6/30/2024
* 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	Lumico Life Insurance Company	300354	Agent - Life	9/11/2021	4/17/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/13/2022	11/15/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/13/2022	11/15/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/27/2023	4/17/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	11/15/2023