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DEPARTMENT OF INSURANCE
Affiliations
Name
Clark, Thomas Gregory
DOIID
383323
NAIC NPN
1488069
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Denied
Resident
Agent
Life
Denied
Resident
Agent
Variable Life and Variable Annuities
Inactive
Resident
Agent
Health
2/4/2008
5/1/2010
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
8/20/2008
1/19/2010
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
8/20/2008
1/19/2010
Inactive
American Enterprise Life Insurance Company
300262
Agent - Life
12/18/1995
7/11/1997
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
11/10/2008
12/4/2009
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
11/10/2008
12/4/2009
Inactive
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
11/10/2008
12/4/2009
Inactive
Canada Life Assurance Company
301192
Agent - Life
11/21/1997
2/17/1999
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
11/21/2003
4/1/2007
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Variable Life and Variable Annuities
11/21/2003
4/1/2007
Inactive
Delaware Life Insurance Company
301256
Agent - Life
1/12/1996
9/11/1997
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
1/25/2007
11/12/2008
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
1/25/2007
11/12/2008
Inactive
Everlake Life Insurance Company
300873
Agent - Life
8/26/2004
10/28/2008
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
8/26/2004
10/28/2008
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
1/25/2007
5/1/2010
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
1/25/2007
5/1/2010
Inactive
Genworth Life Insurance Company
300623
Agent - Life
7/24/1997
12/4/2007
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
11/24/2004
12/19/2008
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Variable Life and Variable Annuities
11/24/2004
12/19/2008
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Life
3/10/1999
1/1/2005
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Variable Life and Variable Annuities
3/29/2001
1/1/2005
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
8/20/2008
11/18/2008
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
8/20/2008
11/18/2008
Inactive
ING Insurance Company of America
301507
Agent - Life
9/8/1997
12/31/2002
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
8/20/2008
10/28/2008
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
8/20/2008
10/28/2008
Inactive
Keyport Life Insurance Company
300319
Agent - Life
1/16/1996
12/29/1998
Inactive
Life Investors Insurance Company of America
301793
Agent - Life
2/12/2002
7/16/2007
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
7/25/2008
5/1/2010
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
7/25/2008
5/1/2010
Inactive
MML Bay State Life Insurance Company
301198
Agent - Life
9/25/1996
5/9/2006
Inactive
MetLife Investors Insurance Company
301872
Agent - Health
8/21/2008
10/30/2008
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
11/7/2008
12/7/2009
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
11/7/2008
12/7/2009
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
11/7/2008
12/7/2009
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
11/7/2008
12/7/2009
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
11/4/2008
5/1/2010
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
12/22/2000
5/1/2010
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
5/22/2001
5/1/2010
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
6/1/2007
5/1/2010
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
6/1/2007
5/1/2010
Inactive
New England Life Insurance Company
300343
Agent - Life
12/20/1999
12/11/2009
Inactive
Pacific Life Insurance Company
301848
Agent - Life
8/21/2008
5/1/2010
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
8/21/2008
5/1/2010
Inactive
Peoples Benefit Life Insurance Company
301895
Agent - Life
1/12/1996
9/3/1997
Inactive
Principal Life Insurance Company
300129
Agent - Health
6/3/2008
5/1/2010
Inactive
Principal Life Insurance Company
300129
Agent - Life
6/3/2008
5/1/2010
Inactive
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
6/3/2008
5/1/2010
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/1/2007
10/28/2008
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
4/1/2007
10/28/2008
Inactive
Pruco Life Insurance Company
300954
Agent - Health
8/15/2008
5/1/2010
Inactive
Pruco Life Insurance Company
300954
Agent - Life
8/15/2008
5/1/2010
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
8/18/2008
5/1/2010
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
1/16/2008
5/1/2010
Inactive
ReliaStar Life Insurance Company
301712
Agent - Variable Life and Variable Annuities
1/16/2008
5/1/2010
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
1/16/2008
5/1/2010
Inactive
Security Life of Denver Insurance Company
300648
Agent - Variable Life and Variable Annuities
1/16/2008
5/1/2010
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
12/12/1996
1/1/2009
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
3/18/2009
5/1/2010
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
1/22/1996
8/23/1999
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
3/31/2001
12/31/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
3/18/2009
5/1/2010
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
1/22/1996
8/23/1999
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
3/31/2001
12/31/2009
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
3/28/2001
12/29/2008
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
3/8/2002
12/29/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
1/2/2008
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Variable Life and Variable Annuities
1/2/2008
10/1/2008
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
8/5/1997
5/25/2001
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
2/3/2005
8/25/2008
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
2/3/2005
8/25/2008
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
9/8/1997
11/30/2006
Inactive
Western National Life Insurance Company
300461
Agent - Life
5/29/2001
12/7/2009
Inactive
Western National Life Insurance Company
300461
Agent - Variable Life and Variable Annuities
3/8/2002
5/1/2010
Inactive
Western-Southern Life Assurance Company
301590
Agent - Health
3/18/2009
5/1/2010
Inactive
Western-Southern Life Assurance Company
301590
Agent - Life
3/18/2009
5/1/2010
Inactive
Western-Southern Life Assurance Company
301590
Agent - Variable Life and Variable Annuities
7/19/2001
5/1/2010
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Jackson National Life Insurance Agency LLC
400555
Agent - Life
11/10/2008
12/9/2009
Inactive
Jackson National Life Insurance Agency LLC
400555
Agent - Variable Life and Variable Annuities
11/10/2008
12/9/2009
Inactive
Jackson National Life Insurance Agency LLC
400555
Agent - Health
11/10/2008
12/9/2009
Inactive
Ubs Financial Services Ins Agency Inc
399373
Agent - Life
10/2/2006
5/1/2010
Inactive
Ubs Financial Services Ins Agency Inc
399373
Agent - Variable Life and Variable Annuities
10/2/2006
5/1/2010
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