DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Robert B	DOIID	342753	NAIC NPN	2213624

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	2/29/2020
Inactive	Resident	Agent	Property	8/15/2000	3/1/2020
Inactive	Resident	Agent	Life	7/20/1993	3/1/2020
Inactive	Resident	Agent	Mortgage Redemption	12/10/1998	8/7/2000
Inactive	Resident	Agent	General Lines	9/6/1985	8/15/2000
Inactive	Resident	Agent	Health	7/20/1993	3/1/2020
Inactive	Resident	Agent	Casualty	8/15/2000	3/1/2020
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	4/2/1996	11/20/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/2/1996	11/20/2007
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	8/15/2000	6/27/2003
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - General Lines	10/11/1999	8/15/2000
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	8/15/2000	6/27/2003
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	8/15/2000	4/12/2007
Inactive	American Bankers Insurance Company of Florida	300360	Agent - General Lines	5/7/1999	8/15/2000
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	8/15/2000	4/12/2007
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	5/13/1999	4/12/2007
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	5/13/1999	4/12/2007
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	11/14/2007	6/28/2010
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/23/2004	1/29/2018
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/23/2004	1/29/2018
Inactive	American General Assurance Company	300586	Agent - Health	12/12/1996	3/28/2007
Inactive	American General Assurance Company	300586	Agent - Life	12/12/1996	3/28/2007
Inactive	American General Life Insurance Company	301585	Agent - Health	4/10/2011	3/1/2020
Inactive	American General Life Insurance Company	301585	Agent - Life	4/10/2011	3/1/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	3/1/2020
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	9/6/1994	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	3/1/2020
Inactive	American National Insurance Company	301861	Agent - Health	12/14/2016	3/1/2020
Inactive	American National Insurance Company	301861	Agent - Life	12/14/2016	3/1/2020
Inactive	American National Insurance Company	301861	Agent - Limited Line Credit	12/14/2016	3/1/2020
Inactive	American National Property and Casualty Company	300392	Agent - Casualty	12/14/2016	3/1/2020
Inactive	American National Property and Casualty Company	300392	Agent - Property	12/14/2016	3/1/2020
Inactive	American States Life Insurance Company	301884	Agent - Health	11/13/1997	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	11/13/1997	12/6/2004
Inactive	American United Life Insurance Company	300498	Agent - Health	2/8/2005	6/19/2009
Inactive	American United Life Insurance Company	300498	Agent - Life	2/8/2005	6/19/2009
Inactive	Arch Insurance Company	300688	Agent - Casualty	6/30/2016	3/1/2020
Inactive	Arch Insurance Company	300688	Agent - Limited Line Credit	6/30/2016	2/29/2020
Inactive	Arch Insurance Company	300688	Agent - Property	6/30/2016	3/1/2020
Inactive	Assurity Life Insurance Company	301099	Agent - Health	1/10/2013	12/8/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Life	1/10/2013	12/8/2014
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	8/7/2006	6/17/2011
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	8/7/2006	6/17/2011
Inactive	Banner Life Insurance Company	301696	Agent - Life	4/1/2002	1/29/2013
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	4/13/1995	1/5/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	4/13/1995	1/5/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	4/13/1994	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	4/13/1994	3/31/1997
Inactive	Chase Life and Annuity Company	300145	Agent - Health	2/28/1995	12/11/1996
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	12/1/1999	10/4/2017
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	12/1/1999	10/4/2017
Inactive	Columbia Mutual Insurance Company	301295	Agent - General Lines	11/5/1993	3/31/1996
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	1/29/2018
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	1/29/2018
Inactive	Continental Casualty Company	301019	Agent - Health	10/13/1999	10/28/2002
Inactive	Cumberland Surety Insurance Company Inc.	300112	Agent - General Lines	6/10/1994	3/31/1996
Inactive	Federal Home Life Insurance Company	301302	Agent - Health	2/23/1995	3/31/1997
Inactive	Federal Home Life Insurance Company	301302	Agent - Life	2/23/1995	3/31/1997
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	1/26/2007	11/4/2008
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	1/26/2007	11/4/2008
Inactive	First Colony Life Insurance Company	301179	Agent - Life	12/7/1994	1/1/2007
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Health	7/20/1993	3/31/1997
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Life	7/20/1993	3/31/1997
Inactive	Genworth Life Insurance Company	300623	Agent - Health	2/21/2011	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	2/21/2011	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	9/5/2008	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	9/5/2008	12/7/2012
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	6/16/2004	10/3/2016
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	6/16/2004	10/3/2016
Inactive	Grange Insurance Company	300234	Agent - Casualty	6/16/2004	10/3/2016
Inactive	Grange Insurance Company	300234	Agent - Property	6/16/2004	10/3/2016
Inactive	Grange Life Insurance Company	300128	Agent - Health	6/16/2004	10/3/2016
Inactive	Grange Life Insurance Company	300128	Agent - Life	6/16/2004	10/3/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	1/11/2008	10/3/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	1/11/2008	10/3/2016
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	11/12/2008	1/7/2015
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	11/12/2008	1/7/2015
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/22/1994	11/16/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/22/1994	11/16/2011
Inactive	Humana Insurance Company	301104	Agent - Health	3/24/1994	3/31/1997
Inactive	Humana Insurance Company	301104	Agent - Life	3/24/1994	3/31/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	2/17/2011	11/8/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	2/17/2011	11/8/2013
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	1/29/2018
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	1/29/2018
Inactive	Inter-State Assurance Company	301556	Agent - Life	7/12/1999	1/2/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	1/13/1995	8/13/2009
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	1/13/1995	8/13/2009
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	1/7/2005	3/1/2020
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	1/7/2005	3/1/2020
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	12/4/2003
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	9/6/1985	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	12/4/2003
Inactive	Life Insurance Company of North America	300711	Agent - Health	9/15/2015	3/1/2020
Inactive	Life Insurance Company of North America	300711	Agent - Life	9/15/2015	3/1/2020
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	11/13/1998	10/2/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	11/13/1998	10/2/2008
Inactive	LifeUSA Insurance Company	300386	Agent - Health	4/2/1996	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	4/2/1996	8/2/2002
Inactive	Nassau Life Insurance Company	301406	Agent - Health	2/6/2001	2/13/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Life	2/6/2001	2/13/2004
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	5/19/1995	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	5/19/1995	3/31/1999
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	1/29/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	1/29/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/15/2000	1/29/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	2/11/1998	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/15/2000	1/29/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/15/2000	1/29/2018
Inactive	Ohio Security Insurance Company	300622	Agent - General Lines	10/4/1999	8/15/2000
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/15/2000	1/29/2018
Inactive	PHL Variable Insurance Company	300525	Agent - Health	2/6/2001	2/13/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Life	2/6/2001	2/13/2004
Inactive	Pacific Life Insurance Company	301848	Agent - Life	8/21/2017	3/1/2020
Inactive	Pan-American Assurance Company	301533	Agent - Health	6/14/1996	3/1/2020
Inactive	Pan-American Assurance Company	301533	Agent - Life	6/14/1996	3/1/2020
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	6/14/1996	3/1/2020
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	6/14/1996	3/1/2020
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	1/29/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	1/29/2018
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	1/29/2018
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	1/29/2018
Inactive	Plateau Insurance Company	300368	Agent - Limited Line Credit	7/17/2016	1/24/2020
Inactive	Principal Life Insurance Company	300129	Agent - Health	12/28/1999	11/20/2000
Inactive	Principal Life Insurance Company	300129	Agent - Life	12/28/1999	11/20/2000
Inactive	Protective Life Insurance Company	300638	Agent - Health	8/20/2004	11/23/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	8/20/2004	11/23/2009
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - General Lines	5/5/1995	2/17/1998
Inactive	Pruco Life Insurance Company	300954	Agent - Health	8/23/2004	9/24/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	8/23/2004	9/24/2014
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	12/2/1993	3/31/1997
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	12/2/1993	3/31/1997
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	6/14/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	6/14/2005
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	9/13/1994	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	9/13/1994	10/1/2003
Inactive	Southland Life Insurance Company	301175	Agent - Health	8/12/1996	9/17/2004
Inactive	Southland Life Insurance Company	301175	Agent - Life	8/12/1996	9/17/2004
Inactive	Standard Insurance Company	300185	Agent - Health	4/23/2007	12/31/2013
Inactive	Standard Insurance Company	300185	Agent - Life	4/23/2007	12/31/2013
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	3/30/2005	6/11/2007
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	3/30/2005	6/11/2007
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	12/26/2007	11/23/2010
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	12/26/2007	11/23/2010
Inactive	Symetra Life Insurance Company	301691	Agent - Health	7/3/1998	12/16/2005
Inactive	Symetra Life Insurance Company	301691	Agent - Life	7/3/1998	12/16/2005
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	10/9/2002	11/16/2011
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	10/9/2002	11/16/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	2/15/2016	1/6/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	2/15/2016	1/6/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/2/1998	3/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/2/1998	3/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Limited Line Credit	8/7/2000	2/29/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Mortgage Redemption	12/10/1998	8/7/2000
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	6/16/2004	10/3/2016
Inactive	Trustgard Insurance Company	300104	Agent - Property	6/16/2004	10/3/2016
Inactive	West American Insurance Company	301112	Agent - Casualty	4/23/2004	1/29/2018
Inactive	West American Insurance Company	301112	Agent - Property	4/23/2004	1/29/2018
Inactive	West Coast Life Insurance Company	301607	Agent - Health	6/3/2002	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	6/3/2002	9/4/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners NL, LLC	762387	Agent - Health	5/27/2014	4/14/2016
Inactive	Assuredpartners NL, LLC	762387	Agent - Life	5/27/2014	4/14/2016
Inactive	Assuredpartners NL, LLC	762387	Agent - Property	5/27/2014	4/14/2016
Inactive	Assuredpartners NL, LLC	762387	Agent - Casualty	5/27/2014	4/14/2016
Inactive	Barry K. Clark & Associates Inc.	400423	Agent - Health	3/9/1994	3/31/2009
Inactive	Barry K. Clark & Associates Inc.	400423	Agent - Life	3/9/1994	3/31/2009
Inactive	Bluegrass Brokerage Center	400389	Agent - Health	6/10/1997	5/31/2003
Inactive	Bluegrass Brokerage Center	400389	Agent - Life	6/10/1997	5/31/2003
Inactive	Creech And Stafford Insurance Agency Inc.	400968	Agent - Health	8/23/1999	3/28/2018
Inactive	Creech And Stafford Insurance Agency Inc.	400968	Agent - Life	8/23/1999	3/28/2018
Inactive	Creech And Stafford Insurance Agency Inc.	400968	Agent - General Lines	8/23/1999	8/15/2000
Inactive	Creech And Stafford Insurance Agency Inc.	400968	Agent - Property	8/15/2000	3/28/2018
Inactive	Creech And Stafford Insurance Agency Inc.	400968	Agent - Casualty	8/15/2000	3/28/2018
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Lenders Service Corporation	399159	Agent - Health	4/7/2016	3/1/2020
Inactive	Lenders Service Corporation	399159	Agent - Life	4/7/2016	3/1/2020
Inactive	Lenders Service Corporation	399159	Agent - Limited Line Credit	4/7/2016	2/29/2020
Inactive	Lenders Service Corporation	399159	Agent - Property	4/7/2016	3/1/2020
Inactive	Lenders Service Corporation	399159	Agent - Casualty	4/7/2016	3/1/2020