PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameClark, Mona LisaDOIID334737NAIC NPN3309786
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentCasualty8/23/2021 10/31/2025
ActiveResidentAgentHealth1/3/1997 10/31/2025
ActiveResidentAgentLife1/3/1997 10/31/2025
ActiveResidentAgentProperty8/23/2021 10/31/2025
* 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
Agent08/15/202510/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAF&L Insurance Company301582Agent - Health  
InactiveAllianz Life Insurance Company of North America301791Agent - Health5/3/200410/29/2014
InactiveAllianz Life Insurance Company of North America301791Agent - Life5/3/200410/29/2014
InactiveAmerican Continental Insurance Company643130Agent - Health11/3/20116/6/2016
InactiveAmerican Continental Insurance Company643130Agent - Life11/3/201112/15/2016
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life12/18/20063/26/2014
ActiveAmerican General Life Insurance Company301585Agent - Health7/6/2015 
ActiveAmerican General Life Insurance Company301585Agent - Life7/6/2015 
ActiveAmerican National Insurance Company301861Agent - Life4/20/2025 
InactiveAmerican-Amicable Life Insurance Co. of Texas300257Agent - Life11/15/20111/6/2015
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health5/3/200411/1/2006
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life3/24/20212/4/2022
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/9/202312/16/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/9/202312/16/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health10/9/202312/16/2024
InactiveArcadian Health Plan, Inc.728196Agent - Health11/18/20206/14/2022
ActiveAssurity Life Insurance Company301099Agent - Health7/21/2005 
ActiveAssurity Life Insurance Company301099Agent - Life7/21/2005 
InactiveAthene Annuity & Life Assurance Company301798Agent - Life2/16/20106/13/2011
InactiveAthene Annuity & Life Assurance Company of New York300724Agent - Life5/1/20065/8/2013
InactiveAugustar Life Assurance Corporation301113Agent - Life7/6/20043/10/2007
InactiveAugustar Life Insurance Company301816Agent - Life7/6/20043/10/2007
InactiveBankers Fidelity Assurance Company554627Agent - Health1/28/202012/13/2023
InactiveBankers Fidelity Assurance Company554627Agent - Life2/28/202012/13/2023
InactiveBankers Fidelity Life Insurance Company300193Agent - Health1/28/202012/13/2023
InactiveBankers Fidelity Life Insurance Company300193Agent - Life1/28/202012/13/2023
InactiveBankers Life and Casualty Company300701Agent - Health1/3/19975/1/2004
InactiveBankers Life and Casualty Company300701Agent - Life1/3/19975/1/2004
InactiveBanner Life Insurance Company301696Agent - Life12/5/20115/27/2024
InactiveBoston Mutual Life Insurance Company300143Agent - Health4/13/20057/21/2005
InactiveBoston Mutual Life Insurance Company300143Agent - Life4/13/20057/21/2005
InactiveChase Insurance Life and Annuity Company300518Agent - Health10/17/20054/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life10/17/20054/1/2007
InactiveColonial Life and Accident Insurance Company300846Agent - Health10/3/20142/10/2016
InactiveColonial Life and Accident Insurance Company300846Agent - Life10/3/20142/10/2016
InactiveColumbian Life Insurance Company300810Agent - Life8/12/20158/23/2024
InactiveCompcare Health Services Insurance Corporation948751Agent - Health10/9/202312/16/2024
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health11/3/2011 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life11/3/20114/26/2016
InactiveDelaware Life Insurance Company301256Agent - Life9/18/200610/23/2008
ActiveErie Family Life Insurance Company301400Agent - Health9/22/2021 
ActiveErie Family Life Insurance Company301400Agent - Life9/22/2021 
ActiveErie Insurance Company300230Agent - Casualty9/22/2021 
ActiveErie Insurance Company300230Agent - Property9/22/2021 
ActiveErie Insurance Exchange300789Agent - Casualty9/22/2021 
ActiveErie Insurance Exchange300789Agent - Property9/22/2021 
ActiveErie Insurance Property & Casualty Company789942Agent - Casualty4/7/2025 
ActiveErie Insurance Property & Casualty Company789942Agent - Property4/7/2025 
InactiveFederal Life Insurance Company300945Agent - Life3/27/20125/11/2015
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Health5/3/200410/8/2013
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life5/3/20042/8/2017
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life12/27/20077/26/2016
ActiveFlagship City Insurance Company789965Agent - Casualty4/8/2025 
ActiveFlagship City Insurance Company789965Agent - Property4/8/2025 
InactiveGerber Life Insurance Company300529Agent - Health4/22/20148/10/2018
InactiveGerber Life Insurance Company300529Agent - Life4/22/20148/10/2018
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health11/18/20206/14/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health11/18/20206/14/2022
InactiveHumana Insurance Company301104Agent - Health11/18/20206/14/2022
InactiveHumana Medical Plan, Inc.801568Agent - Health11/18/20206/14/2022
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health11/18/20206/14/2022
InactiveIndependent Order of Foresters300743Agent - Health3/17/201111/4/2014
ActiveIndependent Order of Foresters300743Agent - Life8/17/2015 
InactiveJohn Hancock Life Insurance Company300821Agent - Health2/27/20047/19/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Life2/27/20047/19/2008
ActiveKansas City Life Insurance Company301444Agent - Life11/18/2021 
ActiveLiberty Bankers Life Insurance Company542461Agent - Life7/12/2017 
InactiveLife Insurance Company of the Southwest301867Agent - Health12/27/20119/9/2015
InactiveLife Insurance Company of the Southwest301867Agent - Life12/27/20119/9/2015
InactiveLife Investors Insurance Company of America301793Agent - Health10/18/20059/19/2006
InactiveLife Investors Insurance Company of America301793Agent - Life10/18/20059/19/2006
ActiveMedico Insurance Company301559Agent - Health8/18/2023 
ActiveMedico Insurance Company301559Agent - Life8/18/2023 
ActiveMidland National Life Insurance Company300923Agent - Life1/16/2020 
InactiveMutual of Omaha Insurance Company301012Agent - Health7/7/201012/26/2012
InactiveNorth American Company for Life and Health Insurance300291Agent - Health11/4/20124/23/2019
InactiveNorth American Company for Life and Health Insurance300291Agent - Life11/22/20114/23/2019
ActiveOld American Insurance Company300762Agent - Life10/8/2022 
ActiveOxford Life Insurance Company301079Agent - Health1/31/2012 
InactiveOxford Life Insurance Company301079Agent - Life1/31/20121/10/2018
InactivePenn Treaty Network America Insurance Company301297Agent - Health5/3/20046/22/2005
InactivePenn Treaty Network America Insurance Company301297Agent - Life5/3/20046/22/2005
InactivePhysicians Life Insurance Company300924Agent - Health4/5/20065/17/2007
InactivePhysicians Life Insurance Company300924Agent - Life4/5/20065/17/2007
InactivePhysicians Mutual Insurance Company, Inc.301084Agent - Health4/5/20065/17/2007
InactiveProtective Life Insurance Company300638Agent - Health6/8/201211/23/2013
InactiveProtective Life Insurance Company300638Agent - Life6/8/201211/23/2013
InactivePruco Life Insurance Company300954Agent - Life12/22/201412/24/2018
InactiveReliaStar Life Insurance Company301712Agent - Health3/6/20098/28/2014
InactiveReliaStar Life Insurance Company301712Agent - Life3/6/20098/28/2014
InactiveReserve National Insurance Company301073Agent - Health6/11/20192/25/2021
InactiveReserve National Insurance Company301073Agent - Life6/11/20192/25/2021
ActiveRoyal Neighbors of America301646Agent - Life5/14/2025 
InactiveShenandoah Life Insurance Company300130Agent - Health8/11/20041/20/2008
InactiveShenandoah Life Insurance Company300130Agent - Life12/29/20061/20/2008
InactiveTransamerica Life Insurance Company300571Agent - Health5/18/20122/12/2020
InactiveTransamerica Life Insurance Company300571Agent - Life5/18/20122/12/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Health7/8/201010/1/2014
InactiveTransamerica Premier Life Insurance Company300558Agent - Life7/8/201010/1/2014
InactiveU.S. Financial Life Insurance Company301812Agent - Life7/26/200510/18/2007
InactiveUnited Home Life Insurance Company300421Agent - Life1/24/201212/21/2017
InactiveUnited Insurance Company of America300775Agent - Health10/7/20192/25/2021
ActiveUnited of Omaha Life Insurance Company300156Agent - Health4/18/2025 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life4/18/2025 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCornerstone Senior Services LLC399590Agent - Life4/6/20007/31/2000
InactiveCornerstone Senior Services LLC399590Agent - Health4/6/20007/31/2000
InactiveMedlink Inc400721Agent - Life7/15/20043/31/2024
InactiveMedlink Inc400721Agent - Health7/15/20043/31/2024

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