DEPARTMENT OF INSURANCE
Affiliations
NameClark, Charles PhilipDOIID354597NAIC NPN532474
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife11/14/1977 4/30/2025
ActiveResidentAgentVariable Life and Variable Annuities5/31/2001 4/30/2025
ActiveResidentAgentHealth11/14/1977 4/30/2025
ActiveResidentLife & Health ConsultantNot Applicable1/12/1983 4/30/2025
InactiveResidentLife Settlement BrokerNot Applicable9/24/20083/19/2019 
* 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent02/15/202504/30/2025   
Life & Health Consultant02/15/202504/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health12/18/201411/26/2019
ActiveAllianz Life Insurance Company of North America301791Agent - Life7/6/2023 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities7/6/2023 
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Health2/3/20212/9/2021
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life2/3/20214/17/2024
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Variable Life and Variable Annuities2/3/20212/9/2021
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/9/20164/9/2018
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/9/20164/9/2018
InactiveAmerican General Life Insurance Company301585Agent - Health7/18/200712/20/2013
InactiveAmerican General Life Insurance Company301585Agent - Life7/18/200712/20/2013
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities7/18/200712/20/2013
InactiveAmerican National Insurance Company301861Agent - Health12/30/20083/5/2015
InactiveAmerican National Insurance Company301861Agent - Life12/30/20083/5/2015
InactiveAmerican United Life Insurance Company300498Agent - Health5/20/199612/6/2023
InactiveAmerican United Life Insurance Company300498Agent - Life5/20/199612/6/2023
ActiveAmerican United Life Insurance Company300498Agent - Variable Life and Variable Annuities1/16/2007 
InactiveAnthem Life Insurance Company301209Agent - Health9/27/19935/15/2017
InactiveAnthem Life Insurance Company301209Agent - Life9/27/19935/15/2017
InactiveAssurity Life Insurance Company301099Agent - Health12/23/20099/17/2010
InactiveAssurity Life Insurance Company301099Agent - Life12/23/20099/17/2010
InactiveAthene Annuity & Life Assurance Company301798Agent - Health9/17/19969/5/2006
InactiveAthene Annuity & Life Assurance Company301798Agent - Life9/17/19969/5/2006
InactiveAthene Annuity and Life Company301893Agent - Life6/29/20201/24/2022
InactiveAtlantic Coast Life Insurance Company642114Agent - Variable Life and Variable Annuities7/23/201912/31/2020
InactiveAviva Life Insurance Company301615Agent - Health9/25/198712/21/2005
InactiveAviva Life Insurance Company301615Agent - Life9/25/198712/21/2005
InactiveBankers Life Insurance Company301784Agent - Life4/23/20142/8/2019
ActiveBanner Life Insurance Company301696Agent - Life7/15/2002 
InactiveBrighthouse Life Insurance Company301829Agent - Health10/13/19994/15/2005
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/2014 
InactiveCanada Life Assurance Company301192Agent - Health10/29/19987/26/2004
InactiveCanada Life Assurance Company301192Agent - Life10/29/19987/26/2004
InactiveCentennial Life Insurance Company (The)301561Agent - Health9/20/19953/31/1997
InactiveCentennial Life Insurance Company (The)301561Agent - Life9/20/19953/31/1997
InactiveChase Insurance Life and Annuity Company300518Agent - Health10/28/19914/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life10/28/19914/1/2007
ActiveCincinnati Life Insurance Company (The)300601Agent - Health6/7/2016 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life6/7/2016 
ActiveClear Spring Life and Annuity Company300919Agent - Life7/5/2022 
InactiveColonial Life and Accident Insurance Company300846Agent - Health6/29/200112/21/2012
InactiveColonial Life and Accident Insurance Company300846Agent - Life6/29/200112/21/2012
InactiveConseco Medical Insurance Company300719Agent - Health7/5/19953/23/1998
InactiveConseco Medical Insurance Company300719Agent - Life7/5/19953/23/1998
InactiveDental Concern Inc. (The)301641Agent - Health3/21/200912/8/2015
InactiveEquiTrust Life Insurance Company502870Agent - Life7/24/20087/11/2011
InactiveEquitable Financial Life Insurance Company300808Agent - Health1/5/201612/23/2020
InactiveEquitable Financial Life Insurance Company300808Agent - Life1/5/201612/23/2020
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities1/5/201612/23/2020
InactiveEquitable Financial Life Insurance Company of America301772Agent - Health1/5/201612/23/2020
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life1/5/201612/23/2020
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities1/5/201612/23/2020
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life10/17/20225/27/2024
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Health12/9/199810/28/2008
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life12/9/199810/28/2008
InactiveFirst Allmerica Financial Life Insurance Company301853Agent - Health4/5/19951/26/2007
InactiveFirst Allmerica Financial Life Insurance Company301853Agent - Life4/5/19951/26/2007
InactiveFirst Colony Life Insurance Company301179Agent - Health12/20/19831/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life12/20/19831/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health7/26/200512/12/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life7/26/200512/12/2008
InactiveFort Wayne Health & Casualty Insurance Company301572Agent - Health11/5/199012/22/2004
ActiveFortitude Life Insurance & Annuity Company301503Agent - Life8/7/2002 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities8/7/2002 
InactiveGeneral American Life Insurance Company300280Agent - Health10/21/19873/23/2000
InactiveGeneral American Life Insurance Company300280Agent - Life10/21/19873/23/2000
InactiveGenworth Life Insurance Company300623Agent - Health4/28/199512/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life4/28/199512/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health4/16/19961/7/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life3/14/201412/14/2016
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life7/28/200610/5/2021
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities7/28/200610/5/2021
InactiveHCC Life Insurance Company301827Agent - Health8/13/19971/30/2003
InactiveHCC Life Insurance Company301827Agent - Life8/13/19971/30/2003
ActiveHartford Life and Accident Insurance Company300878Agent - Health7/18/1991 
ActiveHartford Life and Accident Insurance Company300878Agent - Life7/18/1991 
InactiveHealth Resources Inc.301210Agent - Health7/7/19921/4/2005
InactiveHumana Health Plan, Inc.300142Agent - Health3/20/200912/8/2015
InactiveHumana Insurance Company301104Agent - Health8/29/20054/10/2018
InactiveHumana Insurance Company301104Agent - Life8/29/20054/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health8/29/200512/8/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life8/29/200512/8/2015
InactiveHumanaDental Insurance Company301457Agent - Health6/27/20082/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life6/27/20082/23/2012
InactiveIllinois Mutual Life Insurance Company301479Agent - Health11/18/200212/5/2006
InactiveIllinois Mutual Life Insurance Company301479Agent - Life11/18/200212/5/2006
InactiveIntegrity Life Insurance Company301687Agent - Life11/28/20039/20/2005
InactiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities11/28/20039/20/2005
InactiveJackson National Life Insurance Company300486Agent - Life8/1/20051/31/2008
ActiveJefferson National Life Insurance Company300258Agent - Life4/2/2024 
ActiveJefferson National Life Insurance Company300258Agent - Variable Life and Variable Annuities4/2/2024 
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health5/10/20027/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life5/10/20027/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Variable Life and Variable Annuities5/10/20027/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health5/10/20024/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life5/10/20024/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Variable Life and Variable Annuities5/10/20024/2/2007
InactiveJohn Hancock Life Insurance Company300821Agent - Health12/26/200812/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life12/26/200812/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health4/16/20084/11/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life3/8/201612/29/2020
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities3/8/201612/29/2020
InactiveKanawha Insurance Company300127Agent - Health1/21/201410/22/2015
InactiveKanawha Insurance Company300127Agent - Life4/10/20084/25/2013
InactiveLiberty Bankers Life Insurance Company542461Agent - Life3/7/20147/21/2022
ActiveLife Insurance Company of North America300711Agent - Health2/26/1979 
ActiveLife Insurance Company of North America300711Agent - Life2/26/1979 
InactiveLife Insurance Company of the Southwest301867Agent - Health1/30/20233/4/2024
InactiveLife Insurance Company of the Southwest301867Agent - Life1/30/20233/4/2024
InactiveLincoln Benefit Life Company301110Agent - Health9/9/200812/17/2010
InactiveLincoln Benefit Life Company301110Agent - Life9/9/200812/17/2010
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities9/9/200812/17/2010
ActiveLincoln National Life Insurance Company (The)301382Agent - Health7/9/2005 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life7/9/2005 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities12/1/2006 
InactiveLincoln National Reassurance Company301919Agent - Health3/15/19951/6/2003
InactiveLincoln National Reassurance Company301919Agent - Life3/15/19951/6/2003
InactiveMassMutual Ascend Life Insurance Company300320Agent - Health8/3/200910/23/2009
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life12/30/201412/6/2017
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health9/11/201912/20/2019
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life9/14/202010/13/2022
InactiveMetLife Investors USA Insurance Company300845Agent - Health2/11/200811/14/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life10/24/201111/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities10/29/201211/14/2014
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Health10/13/19994/15/2005
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life10/13/19994/15/2005
ActiveMetropolitan Life Insurance Company301948Agent - Health1/7/2015 
ActiveMetropolitan Life Insurance Company301948Agent - Life1/7/2015 
ActiveMinnesota Life Insurance Company300488Agent - Health8/13/2002 
ActiveMinnesota Life Insurance Company300488Agent - Life8/13/2002 
ActiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities8/13/2002 
InactiveMutual of Omaha Insurance Company301012Agent - Health1/3/201711/22/2017
InactiveNational Guardian Life Insurance Company300596Agent - Health2/10/20116/29/2012
InactiveNational Guardian Life Insurance Company300596Agent - Life1/9/201312/1/2017
ActiveNationwide Life Insurance Company300495Agent - Health9/20/2002 
ActiveNationwide Life Insurance Company300495Agent - Life9/20/2002 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities9/20/2002 
InactiveNationwide Life Insurance Company of America301134Agent - Health6/22/19987/16/2009
InactiveNationwide Life Insurance Company of America301134Agent - Life6/22/19987/16/2009
InactiveNationwide Life and Annuity Company of America300172Agent - Health7/15/199812/31/2009
InactiveNationwide Life and Annuity Company of America300172Agent - Life12/31/200912/31/2009
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life12/31/20096/4/2014
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities7/18/200312/22/2008
InactiveNorth American Company for Life and Health Insurance300291Agent - Health6/8/19903/31/1997
InactiveNorth American Company for Life and Health Insurance300291Agent - Life7/24/20165/16/2018
ActiveOhio State Life Insurance Company (The)300865Agent - Life1/14/2021 
ActivePacific Guardian Life Insurance Co., Ltd.1074040Agent - Life9/9/2022 
ActivePacific Life Insurance Company301848Agent - Health1/16/2019 
ActivePacific Life Insurance Company301848Agent - Life1/16/2019 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities1/16/2019 
ActivePan-American Assurance Company301533Agent - Health7/19/2002 
ActivePan-American Assurance Company301533Agent - Life7/19/2002 
ActivePan-American Life Insurance Company301530Agent - Health7/19/2002 
ActivePan-American Life Insurance Company301530Agent - Life7/19/2002 
InactivePaul Revere Life Insurance Company300971Agent - Health11/1/199511/30/2005
InactivePaul Revere Life Insurance Company300971Agent - Life11/1/199511/30/2005
InactivePenn Insurance and Annuity Company300712Agent - Life3/2/201810/7/2020
InactivePenn Mutual Life Insurance Company301394Agent - Life3/2/201810/7/2020
InactivePhysicians Life Insurance Company300924Agent - Life10/11/19965/10/2007
ActivePrincipal Life Insurance Company300129Agent - Health4/24/1985 
ActivePrincipal Life Insurance Company300129Agent - Life4/24/1985 
ActivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities5/2/2005 
ActivePrincipal National Life Insurance Company301926Agent - Life9/9/2014 
ActiveProtective Life Insurance Company300638Agent - Health10/18/2018 
ActiveProtective Life Insurance Company300638Agent - Life10/18/2018 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities10/18/2018 
ActivePruco Life Insurance Company300954Agent - Health1/28/2008 
ActivePruco Life Insurance Company300954Agent - Life1/28/2008 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities6/11/2008 
InactivePrudential Insurance Company of America300784Agent - Health12/28/199512/17/2004
InactivePrudential Insurance Company of America300784Agent - Life12/28/199512/17/2004
InactiveReassure America Life Insurance Company300678Agent - Health2/24/199412/31/1998
InactiveReassure America Life Insurance Company301902Agent - Health2/13/19989/3/2004
InactiveReassure America Life Insurance Company300678Agent - Life2/24/199412/31/1998
InactiveReassure America Life Insurance Company301902Agent - Life2/13/19989/3/2004
InactiveReliaStar Life Insurance Company301712Agent - Health10/1/20036/14/2005
InactiveReliaStar Life Insurance Company301712Agent - Life3/20/200810/5/2012
ActiveReliance Standard Life Insurance Company300584Agent - Life9/4/2019 
InactiveSagicor Life Insurance Company300459Agent - Life11/9/20171/7/2019
InactiveSecurity Life of Denver Insurance Company300648Agent - Life3/20/20089/29/2012
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health8/12/199910/1/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life8/12/199910/1/2003
ActiveSentinel Security Life Insurance Company935789Agent - Life12/14/2023 
ActiveStandard Insurance Company300185Agent - Health2/27/2001 
ActiveStandard Insurance Company300185Agent - Life2/27/2001 
InactiveState Life Insurance Company301497Agent - Health3/8/20034/20/2023
InactiveState Life Insurance Company301497Agent - Life3/8/20034/20/2023
InactiveSun Life Assurance Company of Canada301811Agent - Health12/8/20107/27/2022
InactiveSun Life Assurance Company of Canada301811Agent - Life6/22/20097/27/2022
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health1/7/20038/22/2011
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life1/7/20038/22/2011
InactiveSwiss Re Life & Health America, Inc.300722Agent - Health1/6/200312/22/2004
InactiveSwiss Re Life & Health America, Inc.300722Agent - Life1/6/200312/22/2004
ActiveTalcott Resolution Life Insurance Company301759Agent - Health7/18/1991 
ActiveTalcott Resolution Life Insurance Company301759Agent - Life7/18/1991 
ActiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities7/17/2001 
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health8/5/19979/27/2016
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life8/5/19979/27/2016
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities7/17/20019/27/2016
InactiveTime Insurance Company300683Agent - Health11/9/199512/29/2000
InactiveTime Insurance Company300683Agent - Life11/9/199512/29/2000
InactiveTransamerica Life Insurance Company300571Agent - Health10/1/20084/29/2010
InactiveTransamerica Life Insurance Company300571Agent - Life10/1/20083/15/2021
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health3/9/199910/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life3/9/199910/1/2008
InactiveU.S. Financial Life Insurance Company301812Agent - Life8/22/20029/26/2007
InactiveUNUM Life Insurance Company of America300817Agent - Health1/7/19829/9/2015
InactiveUNUM Life Insurance Company of America300817Agent - Life1/7/19829/9/2015
InactiveUSG Annuity & Life Company300457Agent - Life3/16/19948/7/2003
InactiveUnion Security Insurance Company301844Agent - Health6/26/199812/31/2000
InactiveUnion Security Insurance Company301844Agent - Life6/26/19989/29/2000
InactiveUnited Teacher Associates Insurance Company300747Agent - Health5/16/20052/18/2011
InactiveUnited Teacher Associates Insurance Company300747Agent - Life5/16/20052/18/2011
InactiveUnited World Life Insurance Company300532Agent - Health4/13/200712/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health4/13/20076/17/2013
InactiveUnited of Omaha Life Insurance Company300156Agent - Life4/13/20076/17/2013
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/27/199512/12/2009
InactiveUnitedHealthcare Insurance Company300946Agent - Life4/27/199512/12/2009
InactiveVenerable Insurance and Annuity Company301006Agent - Life4/5/20058/25/2008
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life7/11/200512/23/2011
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Variable Life and Variable Annuities7/11/200512/23/2011
InactiveWest Coast Life Insurance Company301607Agent - Life2/3/200611/16/2011
Inactive300277Agent - Health3/13/199612/18/2006
Inactive300277Agent - Life3/13/199612/18/2006
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveC Philip Clark & Associates Inc.398294Agent - Health3/3/19883/31/2018
InactiveC Philip Clark & Associates Inc.398294Agent - Life3/3/19883/31/2018
InactiveDental Choice Agency Inc.398085Agent - Health6/29/200511/8/2013
ActiveDiversified Brokerage Specialists Inc.399027Agent - Health5/25/2016 
ActiveDiversified Brokerage Specialists Inc.399027Agent - Life5/25/2016 
InactiveEKW Solutions, LLC564371Agent - Health2/24/20035/31/2005
InactiveEKW Solutions, LLC564371Agent - Life2/24/20035/31/2005
InactiveFirst United Bank and Trust Company569337Agent - Health11/6/20033/31/2021
InactiveFirst United Bank and Trust Company569337Agent - Life11/6/20033/31/2021
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
ActiveLPL FINANCIAL LLC399327Agent - Health7/8/2014 
ActiveLPL FINANCIAL LLC399327Agent - Life7/8/2014 
ActiveLPL FINANCIAL LLC399327Agent - Variable Life and Variable Annuities7/8/2014 
ActiveLinsco/Private Ledger Insurance Associates, Inc.400524Agent - Health7/8/2014 
ActiveLinsco/Private Ledger Insurance Associates, Inc.400524Agent - Life7/8/2014 
InactiveMorgan Trevathan and Gunn Inc.398365Agent - Health8/20/20081/4/2016
InactiveMorgan Trevathan and Gunn Inc.398365Agent - Life8/20/20081/4/2016
InactiveWest Kentucky Group Benefits401049Agent - Health12/28/19982/24/2003
InactiveWest Kentucky Group Benefits401049Agent - Life12/28/19982/24/2003

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