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DEPARTMENT OF INSURANCE
Affiliations
Name
Clark, Charles Philip
DOIID
354597
NAIC NPN
532474
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Life
11/14/1977
4/30/2025
Active
Resident
Agent
Variable Life and Variable Annuities
5/31/2001
4/30/2025
Active
Resident
Agent
Health
11/14/1977
4/30/2025
Active
Resident
Life & Health Consultant
Not Applicable
1/12/1983
4/30/2025
Inactive
Resident
Life Settlement Broker
Not Applicable
9/24/2008
3/19/2019
* 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.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
02/15/2025
04/30/2025
Life & Health Consultant
02/15/2025
04/30/2025
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
12/18/2014
11/26/2019
Active
Allianz Life Insurance Company of North America
301791
Agent - Life
7/6/2023
Active
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
7/6/2023
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Health
2/3/2021
2/9/2021
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
2/3/2021
4/17/2024
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Variable Life and Variable Annuities
2/3/2021
2/9/2021
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
2/9/2016
4/9/2018
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
2/9/2016
4/9/2018
Inactive
American General Life Insurance Company
301585
Agent - Health
7/18/2007
12/20/2013
Inactive
American General Life Insurance Company
301585
Agent - Life
7/18/2007
12/20/2013
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
7/18/2007
12/20/2013
Inactive
American National Insurance Company
301861
Agent - Health
12/30/2008
3/5/2015
Inactive
American National Insurance Company
301861
Agent - Life
12/30/2008
3/5/2015
Inactive
American United Life Insurance Company
300498
Agent - Health
5/20/1996
12/6/2023
Inactive
American United Life Insurance Company
300498
Agent - Life
5/20/1996
12/6/2023
Active
American United Life Insurance Company
300498
Agent - Variable Life and Variable Annuities
1/16/2007
Inactive
Anthem Life Insurance Company
301209
Agent - Health
9/27/1993
5/15/2017
Inactive
Anthem Life Insurance Company
301209
Agent - Life
9/27/1993
5/15/2017
Inactive
Assurity Life Insurance Company
301099
Agent - Health
12/23/2009
9/17/2010
Inactive
Assurity Life Insurance Company
301099
Agent - Life
12/23/2009
9/17/2010
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Health
9/17/1996
9/5/2006
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
9/17/1996
9/5/2006
Inactive
Athene Annuity and Life Company
301893
Agent - Life
6/29/2020
1/24/2022
Inactive
Atlantic Coast Life Insurance Company
642114
Agent - Variable Life and Variable Annuities
7/23/2019
12/31/2020
Inactive
Aviva Life Insurance Company
301615
Agent - Health
9/25/1987
12/21/2005
Inactive
Aviva Life Insurance Company
301615
Agent - Life
9/25/1987
12/21/2005
Inactive
Bankers Life Insurance Company
301784
Agent - Life
4/23/2014
2/8/2019
Active
Banner Life Insurance Company
301696
Agent - Life
7/15/2002
Active
Brighthouse Life Insurance Company
301829
Agent - Health
12/3/2024
Active
Brighthouse Life Insurance Company
301829
Agent - Life
11/14/2014
Active
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
11/14/2014
Inactive
Canada Life Assurance Company
301192
Agent - Health
10/29/1998
7/26/2004
Inactive
Canada Life Assurance Company
301192
Agent - Life
10/29/1998
7/26/2004
Inactive
Centennial Life Insurance Company (The)
301561
Agent - Health
9/20/1995
3/31/1997
Inactive
Centennial Life Insurance Company (The)
301561
Agent - Life
9/20/1995
3/31/1997
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
10/28/1991
4/1/2007
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
10/28/1991
4/1/2007
Active
Cincinnati Life Insurance Company (The)
300601
Agent - Health
6/7/2016
Active
Cincinnati Life Insurance Company (The)
300601
Agent - Life
6/7/2016
Active
Clear Spring Life and Annuity Company
300919
Agent - Life
7/5/2022
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Health
6/29/2001
12/21/2012
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Life
6/29/2001
12/21/2012
Inactive
Conseco Medical Insurance Company
300719
Agent - Health
7/5/1995
3/23/1998
Inactive
Conseco Medical Insurance Company
300719
Agent - Life
7/5/1995
3/23/1998
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/21/2009
12/8/2015
Inactive
EquiTrust Life Insurance Company
502870
Agent - Life
7/24/2008
7/11/2011
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Health
1/5/2016
12/23/2020
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
1/5/2016
12/23/2020
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
1/5/2016
12/23/2020
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Health
1/5/2016
12/23/2020
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Life
1/5/2016
12/23/2020
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
1/5/2016
12/23/2020
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
10/17/2022
5/27/2024
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Health
12/9/1998
10/28/2008
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
12/9/1998
10/28/2008
Inactive
First Allmerica Financial Life Insurance Company
301853
Agent - Health
4/5/1995
1/26/2007
Inactive
First Allmerica Financial Life Insurance Company
301853
Agent - Life
4/5/1995
1/26/2007
Inactive
First Colony Life Insurance Company
301179
Agent - Health
12/20/1983
1/1/2007
Inactive
First Colony Life Insurance Company
301179
Agent - Life
12/20/1983
1/1/2007
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
7/26/2005
12/12/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
7/26/2005
12/12/2008
Inactive
Fort Wayne Health & Casualty Insurance Company
301572
Agent - Health
11/5/1990
12/22/2004
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
8/7/2002
12/23/2024
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
8/7/2002
12/23/2024
Inactive
General American Life Insurance Company
300280
Agent - Health
10/21/1987
3/23/2000
Inactive
General American Life Insurance Company
300280
Agent - Life
10/21/1987
3/23/2000
Inactive
Genworth Life Insurance Company
300623
Agent - Health
4/28/1995
12/7/2012
Inactive
Genworth Life Insurance Company
300623
Agent - Life
4/28/1995
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
4/16/1996
1/7/2014
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
3/14/2014
12/14/2016
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
7/28/2006
10/5/2021
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
7/28/2006
10/5/2021
Inactive
HCC Life Insurance Company
301827
Agent - Health
8/13/1997
1/30/2003
Inactive
HCC Life Insurance Company
301827
Agent - Life
8/13/1997
1/30/2003
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Health
7/18/1991
11/27/2024
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Life
7/18/1991
11/27/2024
Inactive
Health Resources Inc.
301210
Agent - Health
7/7/1992
1/4/2005
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/20/2009
12/8/2015
Inactive
Humana Insurance Company
301104
Agent - Health
8/29/2005
4/10/2018
Inactive
Humana Insurance Company
301104
Agent - Life
8/29/2005
4/10/2018
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
8/29/2005
12/8/2015
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
8/29/2005
12/8/2015
Inactive
HumanaDental Insurance Company
301457
Agent - Health
6/27/2008
2/23/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Life
6/27/2008
2/23/2012
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
11/18/2002
12/5/2006
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
11/18/2002
12/5/2006
Inactive
Integrity Life Insurance Company
301687
Agent - Life
11/28/2003
9/20/2005
Inactive
Integrity Life Insurance Company
301687
Agent - Variable Life and Variable Annuities
11/28/2003
9/20/2005
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
8/1/2005
1/31/2008
Active
Jefferson National Life Insurance Company
300258
Agent - Life
4/2/2024
Active
Jefferson National Life Insurance Company
300258
Agent - Variable Life and Variable Annuities
4/2/2024
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
5/10/2002
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
5/10/2002
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Variable Life and Variable Annuities
5/10/2002
7/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
5/10/2002
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
5/10/2002
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Variable Life and Variable Annuities
5/10/2002
4/2/2007
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
12/26/2008
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
12/26/2008
12/30/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
4/16/2008
4/11/2012
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
3/8/2016
12/29/2020
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
3/8/2016
12/29/2020
Inactive
Kanawha Insurance Company
300127
Agent - Health
1/21/2014
10/22/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
4/10/2008
4/25/2013
Inactive
Liberty Bankers Life Insurance Company
542461
Agent - Life
3/7/2014
7/21/2022
Active
Life Insurance Company of North America
300711
Agent - Health
2/26/1979
Active
Life Insurance Company of North America
300711
Agent - Life
2/26/1979
Inactive
Life Insurance Company of the Southwest
301867
Agent - Health
1/30/2023
3/4/2024
Inactive
Life Insurance Company of the Southwest
301867
Agent - Life
1/30/2023
3/4/2024
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
9/9/2008
12/17/2010
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
9/9/2008
12/17/2010
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
9/9/2008
12/17/2010
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Health
7/9/2005
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Life
7/9/2005
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
12/1/2006
Inactive
Lincoln National Reassurance Company
301919
Agent - Health
3/15/1995
1/6/2003
Inactive
Lincoln National Reassurance Company
301919
Agent - Life
3/15/1995
1/6/2003
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Health
8/3/2009
10/23/2009
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
12/30/2014
12/6/2017
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
9/11/2019
12/20/2019
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
9/14/2020
10/13/2022
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
2/11/2008
11/14/2009
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
10/24/2011
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
10/29/2012
11/14/2014
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Health
10/13/1999
4/15/2005
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
10/13/1999
4/15/2005
Active
Metropolitan Life Insurance Company
301948
Agent - Health
1/7/2015
Active
Metropolitan Life Insurance Company
301948
Agent - Life
1/7/2015
Active
Minnesota Life Insurance Company
300488
Agent - Health
8/13/2002
Active
Minnesota Life Insurance Company
300488
Agent - Life
8/13/2002
Active
Minnesota Life Insurance Company
300488
Agent - Variable Life and Variable Annuities
8/13/2002
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
1/3/2017
11/22/2017
Inactive
National Guardian Life Insurance Company
300596
Agent - Health
2/10/2011
6/29/2012
Inactive
National Guardian Life Insurance Company
300596
Agent - Life
1/9/2013
12/1/2017
Active
Nationwide Life Insurance Company
300495
Agent - Health
9/20/2002
Active
Nationwide Life Insurance Company
300495
Agent - Life
9/20/2002
Active
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
9/20/2002
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Health
6/22/1998
7/16/2009
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Life
6/22/1998
7/16/2009
Inactive
Nationwide Life and Annuity Company of America
300172
Agent - Health
7/15/1998
12/31/2009
Inactive
Nationwide Life and Annuity Company of America
300172
Agent - Life
12/31/2009
12/31/2009
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
12/31/2009
6/4/2014
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
7/18/2003
12/22/2008
Inactive
North American Company for Life and Health Insurance
300291
Agent - Health
6/8/1990
3/31/1997
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
7/24/2016
5/16/2018
Active
Ohio State Life Insurance Company (The)
300865
Agent - Life
1/14/2021
Active
Pacific Guardian Life Insurance Co., Ltd.
1074040
Agent - Life
9/9/2022
Active
Pacific Life Insurance Company
301848
Agent - Health
1/16/2019
Active
Pacific Life Insurance Company
301848
Agent - Life
1/16/2019
Active
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
1/16/2019
Active
Pan-American Assurance Company
301533
Agent - Health
7/19/2002
Active
Pan-American Assurance Company
301533
Agent - Life
7/19/2002
Active
Pan-American Life Insurance Company
301530
Agent - Health
7/19/2002
Active
Pan-American Life Insurance Company
301530
Agent - Life
7/19/2002
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
11/1/1995
11/30/2005
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
11/1/1995
11/30/2005
Inactive
Penn Insurance and Annuity Company
300712
Agent - Life
3/2/2018
10/7/2020
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Life
3/2/2018
10/7/2020
Inactive
Physicians Life Insurance Company
300924
Agent - Life
10/11/1996
5/10/2007
Active
Principal Life Insurance Company
300129
Agent - Health
4/24/1985
Active
Principal Life Insurance Company
300129
Agent - Life
4/24/1985
Active
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
5/2/2005
Active
Principal National Life Insurance Company
301926
Agent - Life
9/9/2014
Active
Protective Life Insurance Company
300638
Agent - Health
10/18/2018
Active
Protective Life Insurance Company
300638
Agent - Life
10/18/2018
Active
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
10/18/2018
Inactive
Pruco Life Insurance Company
300954
Agent - Health
1/28/2008
12/23/2024
Inactive
Pruco Life Insurance Company
300954
Agent - Life
1/28/2008
12/23/2024
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
6/11/2008
12/23/2024
Inactive
Prudential Insurance Company of America
300784
Agent - Health
12/28/1995
12/17/2004
Inactive
Prudential Insurance Company of America
300784
Agent - Life
12/28/1995
12/17/2004
Inactive
Reassure America Life Insurance Company
300678
Agent - Health
2/24/1994
12/31/1998
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
2/13/1998
9/3/2004
Inactive
Reassure America Life Insurance Company
300678
Agent - Life
2/24/1994
12/31/1998
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
2/13/1998
9/3/2004
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
10/1/2003
6/14/2005
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
3/20/2008
10/5/2012
Active
Reliance Standard Life Insurance Company
300584
Agent - Life
9/4/2019
Inactive
Sagicor Life Insurance Company
300459
Agent - Life
11/9/2017
1/7/2019
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
3/20/2008
9/29/2012
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Health
8/12/1999
10/1/2003
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Life
8/12/1999
10/1/2003
Active
Sentinel Security Life Insurance Company
935789
Agent - Life
12/14/2023
Active
Standard Insurance Company
300185
Agent - Health
2/27/2001
Active
Standard Insurance Company
300185
Agent - Life
2/27/2001
Inactive
State Life Insurance Company
301497
Agent - Health
3/8/2003
4/20/2023
Inactive
State Life Insurance Company
301497
Agent - Life
3/8/2003
4/20/2023
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Health
12/8/2010
7/27/2022
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Life
6/22/2009
7/27/2022
Inactive
Sun Life and Health Insurance Company (U.S.)
300801
Agent - Health
1/7/2003
8/22/2011
Inactive
Sun Life and Health Insurance Company (U.S.)
300801
Agent - Life
1/7/2003
8/22/2011
Inactive
Swiss Re Life & Health America, Inc.
300722
Agent - Health
1/6/2003
12/22/2004
Inactive
Swiss Re Life & Health America, Inc.
300722
Agent - Life
1/6/2003
12/22/2004
Active
Talcott Resolution Life Insurance Company
301759
Agent - Health
7/18/1991
Active
Talcott Resolution Life Insurance Company
301759
Agent - Life
7/18/1991
Active
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
7/17/2001
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
8/5/1997
9/27/2016
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
8/5/1997
9/27/2016
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
7/17/2001
9/27/2016
Inactive
Time Insurance Company
300683
Agent - Health
11/9/1995
12/29/2000
Inactive
Time Insurance Company
300683
Agent - Life
11/9/1995
12/29/2000
Active
Transamerica Life Insurance Company
300571
Agent - Health
11/25/2024
Active
Transamerica Life Insurance Company
300571
Agent - Life
11/25/2024
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
3/9/1999
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
3/9/1999
10/1/2008
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
8/22/2002
9/26/2007
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
1/7/1982
9/9/2015
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
1/7/1982
9/9/2015
Inactive
USG Annuity & Life Company
300457
Agent - Life
3/16/1994
8/7/2003
Inactive
Union Security Insurance Company
301844
Agent - Health
6/26/1998
12/31/2000
Inactive
Union Security Insurance Company
301844
Agent - Life
6/26/1998
9/29/2000
Inactive
United Teacher Associates Insurance Company
300747
Agent - Health
5/16/2005
2/18/2011
Inactive
United Teacher Associates Insurance Company
300747
Agent - Life
5/16/2005
2/18/2011
Inactive
United World Life Insurance Company
300532
Agent - Health
4/13/2007
12/15/2010
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
4/13/2007
6/17/2013
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
4/13/2007
6/17/2013
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
4/27/1995
12/12/2009
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
4/27/1995
12/12/2009
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
4/5/2005
8/25/2008
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
7/11/2005
12/23/2011
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
7/11/2005
12/23/2011
Inactive
West Coast Life Insurance Company
301607
Agent - Life
2/3/2006
11/16/2011
Inactive
300277
Agent - Health
3/13/1996
12/18/2006
Inactive
300277
Agent - Life
3/13/1996
12/18/2006
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
C Philip Clark & Associates Inc.
398294
Agent - Health
3/3/1988
3/31/2018
Inactive
C Philip Clark & Associates Inc.
398294
Agent - Life
3/3/1988
3/31/2018
Inactive
Dental Choice Agency Inc.
398085
Agent - Health
6/29/2005
11/8/2013
Active
Diversified Brokerage Specialists Inc.
399027
Agent - Health
5/25/2016
Active
Diversified Brokerage Specialists Inc.
399027
Agent - Life
5/25/2016
Inactive
EKW Solutions, LLC
564371
Agent - Health
2/24/2003
5/31/2005
Inactive
EKW Solutions, LLC
564371
Agent - Life
2/24/2003
5/31/2005
Inactive
First United Bank and Trust Company
569337
Agent - Health
11/6/2003
3/31/2021
Inactive
First United Bank and Trust Company
569337
Agent - Life
11/6/2003
3/31/2021
Inactive
Healthplan Services, Inc.
401230
Agent - Health
8/31/1995
3/31/1997
Active
LPL FINANCIAL LLC
399327
Agent - Health
7/8/2014
Active
LPL FINANCIAL LLC
399327
Agent - Life
7/8/2014
Active
LPL FINANCIAL LLC
399327
Agent - Variable Life and Variable Annuities
7/8/2014
Active
Linsco/Private Ledger Insurance Associates, Inc.
400524
Agent - Health
7/8/2014
Active
Linsco/Private Ledger Insurance Associates, Inc.
400524
Agent - Life
7/8/2014
Inactive
Morgan Trevathan and Gunn Inc.
398365
Agent - Health
8/20/2008
1/4/2016
Inactive
Morgan Trevathan and Gunn Inc.
398365
Agent - Life
8/20/2008
1/4/2016
Active
Wells Fargo Advisors Insurance Agency LLC
399972
Agent - Health
12/9/2024
Active
Wells Fargo Advisors Insurance Agency LLC
399972
Agent - Life
12/9/2024
Active
Wells Fargo Advisors Insurance Agency LLC
399972
Agent - Variable Life and Variable Annuities
12/9/2024
Inactive
West Kentucky Group Benefits
401049
Agent - Health
12/28/1998
2/24/2003
Inactive
West Kentucky Group Benefits
401049
Agent - Life
12/28/1998
2/24/2003
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