DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Daniel Kevin	DOIID	348931	NAIC NPN	2193204

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/13/1998	5/16/2003
Inactive	Resident	Agent	Credit Life & Health	10/28/1997	6/18/1998
Inactive	Resident	Agent	Health	7/13/1998	5/16/2003
* 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	Aetna Life Insurance Company	301140	Agent - Health	3/10/1999	9/6/1999
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/10/1999	9/6/1999
Inactive	Ameribest Life Insurance Company	301390	Agent - Life	4/5/1999	9/6/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/9/1998	9/6/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/9/1998	9/6/1999
Inactive	Humana Insurance Company	301104	Agent - Health	12/14/1998	9/6/1999
Inactive	Humana Insurance Company	301104	Agent - Life	12/14/1998	9/6/1999
Inactive	Imerica Life and Health Insurance Company	300456	Agent - Health	11/5/1999	5/16/2003
Inactive	Imerica Life and Health Insurance Company	300456	Agent - Life	11/5/1999	5/16/2003
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Health	10/7/1998	5/28/1999
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	7/13/1998	6/1/1999
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	7/13/1998	6/1/1999
Inactive	Revol One Insurance Company	300681	Agent - Credit Life & Health	10/28/1997	6/18/1998
Inactive	Time Insurance Company	300683	Agent - Health	4/28/1999	9/6/1999
Inactive	Time Insurance Company	300683	Agent - Life	4/28/1999	9/6/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	11/9/1998	9/6/1999
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	11/9/1998	9/6/1999
Inactive	Medlink Inc	400721	Agent - Life	9/24/2002	5/16/2003
Inactive	Medlink Inc	400721	Agent - Health	9/24/2002	5/16/2003