DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Brian S	DOIID	379587	NAIC NPN	1479596

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/30/1991	2/28/2005
Inactive	Non Resident	Agent	Health	1/30/1991	8/14/2001
* 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	Augustar Life Insurance Company	301816	Agent - Health	1/27/1997	5/7/1997
Inactive	Augustar Life Insurance Company	301816	Agent - Life	1/27/1997	5/7/1997
Inactive	First Colony Life Insurance Company	301179	Agent - Life	3/29/1994	7/14/2004
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Health	3/23/1992	4/1/1996
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	3/23/1992	4/1/1996
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	1/30/1991	8/14/2001
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	1/30/1991	8/14/2001
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	4/15/1996	8/8/1997
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	4/15/1996	8/8/1997
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	5/13/1996	5/7/1997
Inactive	Western National Life Insurance Company	300461	Agent - Life	3/21/1996	5/5/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Investar Insurance Agency Inc.	399342	Agent - Life	12/2/1996	2/27/2003