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DEPARTMENT OF INSURANCE
Affiliations
Name
Clark, Tommy D
DOIID
339046
NAIC NPN
786331
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
4/1/1998
4/30/2004
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
4/9/2007
9/3/2013
Inactive
Non Resident
Agent
Life
4/9/2007
9/3/2013
Inactive
Non Resident
Apprentice Adjuster
Not Applicable
3/28/1995
3/28/1996
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Health
4/26/1999
4/30/2004
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Life
4/26/1999
4/30/2004
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Variable Life and Variable Annuities
6/22/2001
4/30/2004
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
4/17/2007
11/7/2012
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
4/17/2007
11/7/2012
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
10/15/2001
4/30/2004
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
10/15/2001
4/30/2004
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
1/10/2000
2/25/2004
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
2/27/2003
4/30/2004
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
2/27/2003
4/30/2004
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
1/22/2002
4/30/2004
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
2/27/2003
4/30/2004
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
4/1/1998
4/30/2004
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
4/1/1998
4/30/2004
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
1/24/2001
4/30/2004
Inactive
Manufacturers Life Insurance Company of America (The)
300618
Agent - Health
11/19/1999
12/31/2001
Inactive
Manufacturers Life Insurance Company of America (The)
300618
Agent - Life
11/19/1999
12/31/2001
Inactive
Manufacturers Life Insurance Company of North America
301899
Agent - Life
11/23/1999
1/22/2002
Inactive
Pacific Life Insurance Company
301848
Agent - Life
9/24/1999
4/30/2004
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
3/28/2001
4/30/2004
Inactive
Protective Life Insurance Company
300638
Agent - Health
12/27/1999
6/6/2003
Inactive
Protective Life Insurance Company
300638
Agent - Life
12/27/1999
6/6/2003
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
8/20/1999
4/30/2004
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
12/27/1999
4/30/2004
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
12/27/1999
4/30/2004
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
5/11/2001
4/30/2004
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
12/27/1999
4/30/2004
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
12/27/1999
4/30/2004
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
5/11/2001
4/30/2004
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Variable Life and Variable Annuities
4/12/2001
4/30/2004
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
5/4/1999
4/30/2004
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
5/4/1999
4/30/2004
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Variable Life and Variable Annuities
4/10/2001
4/30/2004
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American Diversified Financial Group LLC
513263
Agent - Variable Life and Variable Annuities
11/10/2008
9/3/2013
Inactive
American Diversified Financial Group LLC
513263
Agent - Life
11/10/2008
9/3/2013
Sponsored By
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Lawson, Bruce M
361115
Apprentice Adjuster - Not Applicable
3/28/1995
3/28/1996
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