DEPARTMENT OF INSURANCE
Affiliations
NameClark, Debbie AnnDOIID320751NAIC NPN549666
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife2/17/199412/1/2014 
InactiveResidentAgentVariable Life and Variable Annuities5/31/200112/1/2014 
InactiveResidentAgentHealth2/17/199412/1/2014 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCigna National Health Insurance Company300235Agent - Health7/13/19943/31/1997
InactiveCigna National Health Insurance Company300235Agent - Life7/13/19943/31/1997
InactiveClarica Life Insurance Company - U.S.300207Agent - Health7/19/19943/31/1997
InactiveClarica Life Insurance Company - U.S.300207Agent - Life7/19/19943/31/1997
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Health3/23/199912/30/2005
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Life3/23/199912/30/2005
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Variable Life and Variable Annuities6/22/200112/30/2005
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life3/28/199812/20/2004
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities6/8/200112/20/2004
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life1/14/200912/10/2014
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities1/14/200912/10/2014
InactiveIA American Life Insurance Company301149Agent - Life8/28/19979/26/1997
InactiveJackson National Life Insurance Company300486Agent - Life10/4/200512/13/2006
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities10/4/200512/13/2006
InactiveJefferson National Life Insurance Company300258Agent - Life12/24/20036/8/2006
InactiveJefferson National Life Insurance Company300258Agent - Variable Life and Variable Annuities12/24/20036/8/2006
InactiveJohn Hancock Life Insurance Company300821Agent - Health7/22/200512/11/2006
InactiveJohn Hancock Life Insurance Company300821Agent - Life7/22/200512/11/2006
InactiveJohn Hancock Life Insurance Company300821Agent - Variable Life and Variable Annuities7/22/200512/20/2006
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life11/8/20114/23/2014
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities11/8/20114/23/2014
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life7/22/200512/11/2006
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Variable Life and Variable Annuities7/22/200512/20/2006
InactiveManufacturers Life Insurance Company of North America301899Agent - Life5/20/19941/22/2002
InactiveMidland National Life Insurance Company300923Agent - Health2/17/199412/21/1998
InactiveMidland National Life Insurance Company300923Agent - Life2/17/199412/21/1998
InactiveNationwide Life Insurance Company300495Agent - Health3/30/199812/30/2002
InactiveNationwide Life Insurance Company300495Agent - Life3/30/199812/30/2002
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities4/2/200112/30/2002
InactivePacific Life Insurance Company301848Agent - Life6/2/20047/5/2013
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities6/2/20047/5/2013
InactiveSecurity Benefit Life Insurance Company300583Agent - Health3/13/199810/15/2001
InactiveSecurity Benefit Life Insurance Company300583Agent - Life3/13/199810/15/2001
InactiveSecurity Benefit Life Insurance Company300583Agent - Variable Life and Variable Annuities8/27/200110/15/2001
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health12/22/19957/22/1999
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life12/22/19957/22/1999
InactiveVenerable Insurance and Annuity Company301006Agent - Life8/18/20048/27/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities8/18/20048/27/2008
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDalton Strategic Investment Service Inc.400864Agent - Variable Life and Variable Annuities2/15/20053/31/2009
InactiveWilt Insurance Agency, Inc.555208Agent - Life11/12/200812/1/2014
InactiveWilt Insurance Agency, Inc.555208Agent - Variable Life and Variable Annuities11/12/200812/1/2014

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