DEPARTMENT OF INSURANCE
Affiliations
NameClark, Thomas GregoryDOIID383323NAIC NPN1488069
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedResidentAgentLife   
DeniedResidentAgentVariable Life and Variable Annuities   
InactiveResidentAgentHealth2/4/20085/1/2010 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Life8/20/20081/19/2010
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities8/20/20081/19/2010
InactiveAmerican Enterprise Life Insurance Company300262Agent - Life12/18/19957/11/1997
InactiveBrighthouse Life Insurance Company301829Agent - Health11/10/200812/4/2009
InactiveBrighthouse Life Insurance Company301829Agent - Life11/10/200812/4/2009
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/10/200812/4/2009
InactiveCanada Life Assurance Company301192Agent - Life11/21/19972/17/1999
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 - Life1/12/19969/11/1997
InactiveEquitable Financial Life Insurance Company300808Agent - Life1/25/200711/12/2008
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities1/25/200711/12/2008
InactiveEverlake Life Insurance Company300873Agent - Life8/26/200410/28/2008
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities8/26/200410/28/2008
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life1/25/20075/1/2010
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities1/25/20075/1/2010
InactiveGenworth Life Insurance Company300623Agent - Life7/24/199712/4/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life11/24/200412/19/2008
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities11/24/200412/19/2008
InactiveGlenbrook Life and Annuity Company301384Agent - Life3/10/19991/1/2005
InactiveGlenbrook Life and Annuity Company301384Agent - Variable Life and Variable Annuities3/29/20011/1/2005
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life8/20/200811/18/2008
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities8/20/200811/18/2008
InactiveING Insurance Company of America301507Agent - Life9/8/199712/31/2002
InactiveJackson National Life Insurance Company300486Agent - Life8/20/200810/28/2008
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities8/20/200810/28/2008
InactiveKeyport Life Insurance Company300319Agent - Life1/16/199612/29/1998
InactiveLife Investors Insurance Company of America301793Agent - Life2/12/20027/16/2007
InactiveLincoln National Life Insurance Company (The)301382Agent - Life7/25/20085/1/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities7/25/20085/1/2010
InactiveMML Bay State Life Insurance Company301198Agent - Life9/25/19965/9/2006
InactiveMetLife Investors Insurance Company301872Agent - Health8/21/200810/30/2008
InactiveMetLife Investors Insurance Company301872Agent - Life11/7/200812/7/2009
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities11/7/200812/7/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life11/7/200812/7/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities11/7/200812/7/2009
InactiveNationwide Life Insurance Company300495Agent - Health11/4/20085/1/2010
InactiveNationwide Life Insurance Company300495Agent - Life12/22/20005/1/2010
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities5/22/20015/1/2010
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life6/1/20075/1/2010
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities6/1/20075/1/2010
InactiveNew England Life Insurance Company300343Agent - Life12/20/199912/11/2009
InactivePacific Life Insurance Company301848Agent - Life8/21/20085/1/2010
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities8/21/20085/1/2010
InactivePeoples Benefit Life Insurance Company301895Agent - Life1/12/19969/3/1997
InactivePrincipal Life Insurance Company300129Agent - Health6/3/20085/1/2010
InactivePrincipal Life Insurance Company300129Agent - Life6/3/20085/1/2010
InactivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities6/3/20085/1/2010
InactiveProtective Life Insurance Company300638Agent - Life4/1/200710/28/2008
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities4/1/200710/28/2008
InactivePruco Life Insurance Company300954Agent - Health8/15/20085/1/2010
InactivePruco Life Insurance Company300954Agent - Life8/15/20085/1/2010
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities8/18/20085/1/2010
InactiveReliaStar Life Insurance Company301712Agent - Life1/16/20085/1/2010
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities1/16/20085/1/2010
InactiveSecurity Life of Denver Insurance Company300648Agent - Life1/16/20085/1/2010
InactiveSecurity Life of Denver Insurance Company300648Agent - Variable Life and Variable Annuities1/16/20085/1/2010
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life12/12/19961/1/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Health3/18/20095/1/2010
InactiveTalcott Resolution Life Insurance Company301759Agent - Life1/22/19968/23/1999
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities3/31/200112/31/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health3/18/20095/1/2010
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life1/22/19968/23/1999
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities3/31/200112/31/2009
InactiveTransamerica Life Insurance Company300571Agent - Life3/28/200112/29/2008
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities3/8/200212/29/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life1/2/200810/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Variable Life and Variable Annuities1/2/200810/1/2008
InactiveUnited of Omaha Life Insurance Company300156Agent - Life8/5/19975/25/2001
InactiveVenerable Insurance and Annuity Company301006Agent - Life2/3/20058/25/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities2/3/20058/25/2008
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life9/8/199711/30/2006
InactiveWestern National Life Insurance Company300461Agent - Life5/29/200112/7/2009
InactiveWestern National Life Insurance Company300461Agent - Variable Life and Variable Annuities3/8/20025/1/2010
InactiveWestern-Southern Life Assurance Company301590Agent - Health3/18/20095/1/2010
InactiveWestern-Southern Life Assurance Company301590Agent - Life3/18/20095/1/2010
InactiveWestern-Southern Life Assurance Company301590Agent - Variable Life and Variable Annuities7/19/20015/1/2010
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveJackson National Life Insurance Agency LLC400555Agent - Life11/10/200812/9/2009
InactiveJackson National Life Insurance Agency LLC400555Agent - Variable Life and Variable Annuities11/10/200812/9/2009
InactiveJackson National Life Insurance Agency LLC400555Agent - Health11/10/200812/9/2009
InactiveUbs Financial Services Ins Agency Inc399373Agent - Life10/2/20065/1/2010
InactiveUbs Financial Services Ins Agency Inc399373Agent - Variable Life and Variable Annuities10/2/20065/1/2010

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