DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Jyl B	DOIID	318798	NAIC NPN	7167204

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/8/2009	11/30/2011
Inactive	Non Resident	Agent	Credit Life & Health	4/19/1984	4/30/1998
Inactive	Non Resident	Agent	Life	1/8/2009	11/30/2011
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	Banc One Kentucky Insurance Company	300824	Agent - Credit Life & Health	4/19/1984	4/30/1998
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	1/9/2009	1/27/2010
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	1/9/2009	1/27/2010
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	4/30/2009	1/27/2010
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	4/30/2009	1/27/2010
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	4/6/2009	1/26/2010
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	4/6/2009	1/26/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/2/2009	2/19/2010
Inactive	Humana Insurance Company	301104	Agent - Health	10/8/2009	2/19/2010
Inactive	Humana Insurance Company	301104	Agent - Life	10/8/2009	2/19/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bank One Kentucky-National Association	399770	Agent - Credit Life & Health	12/4/1986	4/30/1998