DEPARTMENT OF INSURANCE
Affiliations
NameClark, Susan LynnDOIID377968NAIC NPN4597306
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife7/6/19959/1/2023 
InactiveResidentAgentVariable Life and Variable Annuities5/31/20019/1/2023 
InactiveResidentAgentHealth11/8/20109/1/2023 
InactiveResidentAgentCredit Life & Health7/24/199112/23/1996 
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health10/31/20131/4/2016
InactiveAllianz Life Insurance Company of North America301791Agent - Life10/31/20131/4/2016
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities10/31/20131/4/2016
InactiveAmerican General Life Insurance Company301585Agent - Health11/19/201010/25/2012
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/20129/1/2023
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities12/31/20129/1/2023
InactiveBanc One Kentucky Insurance Company300824Agent - Credit Life & Health7/24/199112/23/1996
InactiveBrighthouse Life Insurance Company301829Agent - Health6/2/20179/20/2023
InactiveBrighthouse Life Insurance Company301829Agent - Life6/2/20179/20/2023
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities6/2/20179/20/2023
InactiveChase Insurance Life and Annuity Company300518Agent - Life11/21/20034/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Variable Life and Variable Annuities11/21/20034/1/2007
InactiveDelaware Life Insurance Company301256Agent - Life5/26/199911/5/2007
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities8/13/200111/5/2007
InactiveEquitable Financial Life Insurance Company300808Agent - Life6/29/201512/29/2016
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities2/27/20199/1/2023
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life5/21/20223/22/2023
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities5/21/20223/22/2023
InactiveEquitable Life Insurance Company of Iowa301633Agent - Life5/11/20011/1/2004
InactiveEquitable Life Insurance Company of Iowa301633Agent - Variable Life and Variable Annuities5/11/20011/1/2004
InactiveEverlake Life Insurance Company300873Agent - Life3/31/200311/14/2013
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities1/1/200511/14/2013
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life7/13/20209/1/2023
InactiveFirst Colony Life Insurance Company301179Agent - Life1/27/19997/19/2004
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life11/19/199812/23/2008
InactiveForethought Life Insurance Company301407Agent - Health6/29/20189/1/2023
InactiveForethought Life Insurance Company301407Agent - Life6/29/20189/1/2023
InactiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities6/29/20189/1/2023
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life8/14/20004/1/2009
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities6/4/20014/1/2009
InactiveGenworth Life Insurance Company300623Agent - Life11/23/200410/4/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life11/22/200412/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities11/22/200412/7/2012
InactiveGlenbrook Life and Annuity Company301384Agent - Life3/22/19991/1/2005
InactiveGlenbrook Life and Annuity Company301384Agent - Variable Life and Variable Annuities5/31/20011/1/2005
InactiveJackson National Life Insurance Company300486Agent - Life5/18/201610/11/2023
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities5/18/201610/11/2023
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/18/20014/11/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities9/18/20014/11/2012
InactiveKeyport Life Insurance Company300319Agent - Life11/20/199512/29/1998
InactiveLife Investors Insurance Company of America301793Agent - Life3/27/200310/2/2008
InactiveLincoln National Life Insurance Company (The)301382Agent - Health10/18/201310/20/2023
InactiveLincoln National Life Insurance Company (The)301382Agent - Life10/18/201310/20/2023
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities10/18/201310/20/2023
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Life9/18/200112/31/2001
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Variable Life and Variable Annuities9/18/200112/31/2001
InactiveManufacturers Life Insurance Company of North America301899Agent - Life9/23/19971/22/2002
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life5/12/20219/1/2023
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life9/8/20219/15/2023
InactiveMetLife Investors USA Insurance Company300845Agent - Health11/19/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life7/12/200711/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities7/12/200711/14/2014
InactiveNationwide Life Insurance Company300495Agent - Health1/18/20239/1/2023
InactiveNationwide Life Insurance Company300495Agent - Life1/18/20239/1/2023
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities1/18/20239/1/2023
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health1/17/20239/1/2023
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life1/17/20239/1/2023
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities1/17/20239/1/2023
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life7/21/20219/1/2023
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities7/21/20219/1/2023
InactivePacific Life Insurance Company301848Agent - Health6/3/20219/1/2023
InactivePacific Life Insurance Company301848Agent - Life3/28/20189/1/2023
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities3/28/20189/1/2023
InactivePrincipal Life Insurance Company300129Agent - Health6/8/20179/1/2023
InactivePrincipal Life Insurance Company300129Agent - Life6/8/20179/1/2023
InactivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities6/8/20179/1/2023
InactiveProtective Life Insurance Company300638Agent - Life2/22/200711/23/2019
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities2/22/200711/23/2019
InactivePruco Life Insurance Company300954Agent - Life3/17/20179/1/2023
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities3/17/20179/1/2023
InactiveReliaStar Life Insurance Company301712Agent - Life10/1/20036/14/2005
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life7/26/200110/1/2003
InactiveState Life Insurance Company301497Agent - Health4/17/20189/27/2023
InactiveState Life Insurance Company301497Agent - Life4/17/20189/27/2023
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life3/30/201212/31/2012
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities3/30/201212/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Life12/31/201212/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Variable Life and Variable Annuities12/31/201212/31/2012
InactiveSymetra Life Insurance Company301691Agent - Health6/6/20229/1/2023
InactiveSymetra Life Insurance Company301691Agent - Life6/6/20229/1/2023
InactiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities6/6/20229/1/2023
InactiveTalcott Resolution Life Insurance Company301759Agent - Life4/13/199811/25/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities5/31/200111/25/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life4/13/199811/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities5/31/200111/16/2011
InactiveTransamerica Life Insurance Company300571Agent - Life2/11/20009/1/2023
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities4/1/20039/1/2023
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life8/9/199910/1/2005
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Variable Life and Variable Annuities6/4/200110/1/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life8/9/199910/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Variable Life and Variable Annuities6/4/200110/1/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Life8/27/20093/15/2010
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities8/27/20093/15/2010
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life10/29/200111/15/2008
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Variable Life and Variable Annuities10/29/200111/15/2008
InactiveWestern National Life Insurance Company300461Agent - Life3/27/20039/24/2012
InactiveWestern National Life Insurance Company300461Agent - Variable Life and Variable Annuities3/27/20039/24/2012
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveRaymond James Insurance Group, Inc.398342Agent - Life4/18/20179/1/2023
InactiveRaymond James Insurance Group, Inc.398342Agent - Variable Life and Variable Annuities4/18/20179/1/2023
InactiveRaymond James Insurance Group, Inc.398342Agent - Health4/18/20179/1/2023
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Life2/7/20038/18/2003
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Variable Life and Variable Annuities2/7/20032/3/2005

© Commonwealth of Kentucky. All rights reserved.