DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Adam Scott	DOIID	1348121	NAIC NPN	21238492

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	8/5/2024		8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Athene Annuity and Life Company	301893	Agent - Life	11/21/2024
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/27/2024	11/9/2025
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	8/27/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/26/2024	11/10/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	8/26/2024	11/7/2025