DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Steven B	DOIID	367187	NAIC NPN	1491515

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health Maintenance Organization	11/14/1996	3/1/2001
Inactive	Non Resident	Agent	Health	6/7/1995	4/30/2009
Inactive	Non Resident	Agent	Life	6/7/1995	4/30/2009
* 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 Health Inc.	300694	Agent - Health	6/22/2001	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	4/30/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/22/2001	4/30/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/22/2001	4/30/2009
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	11/25/1996	4/7/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	11/25/1996	4/7/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/3/1999	4/30/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/3/1999	4/30/2009
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	3/31/1998	9/20/1999
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	3/31/1998	9/20/1999
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/21/2006	4/30/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/21/2006	4/30/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	5/22/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	2/17/1998	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	1/12/1998	5/22/2008
Inactive	Humana Insurance Company	301104	Agent - Life	1/12/1998	5/22/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/5/2007	5/22/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/5/2007	5/22/2008
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/5/2007	5/22/2008
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/5/2007	5/22/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Health	10/28/1996	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	10/28/1996	3/31/1997
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	5/22/2008
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	5/22/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/7/1995	4/30/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/7/1995	4/30/2009
Inactive	PacifiCare Life Assurance Company	301082	Agent - Health	6/17/1998	7/31/2001
Inactive	PacifiCare Life Assurance Company	301082	Agent - Life	6/17/1998	7/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health	3/1/2001	3/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health Maintenance Organization	11/14/1996	3/1/2001
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health	3/1/2001	5/21/2003
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health Maintenance Organization	5/27/1999	3/1/2001
Inactive	Prudential Insurance Company of America	300784	Agent - Health	5/27/1999	12/17/2004
Inactive	Prudential Insurance Company of America	300784	Agent - Life	5/27/1999	12/17/2004
Inactive	Standard Insurance Company	300185	Agent - Health	8/23/2007	4/30/2009
Inactive	Standard Insurance Company	300185	Agent - Life	8/23/2007	4/30/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/21/2004	4/30/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/21/2004	4/30/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/21/2004	4/30/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/21/2004	4/30/2009

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	6/19/2007	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/19/2007	6/21/2008
Inactive	Medlink Inc	400721	Agent - Life	9/25/2002	4/30/2009
Inactive	Medlink Inc	400721	Agent - Health	9/25/2002	4/30/2009
Inactive	S B Clark And Assoc Inc	661503	Agent - Life	10/1/2007	1/23/2009
Inactive	S B Clark And Assoc Inc	661503	Agent - Health	10/1/2007	1/23/2009