DEPARTMENT OF INSURANCE
Affiliations
NameC Philip Clark & Associates Inc.DOIID398294NAIC NPN7220801
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth4/4/19883/31/2018 
InactiveResidentAgentHealth Maintenance Organization12/14/19883/1/2001 
InactiveResidentAgentLife4/4/19883/31/2018 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc.300694Agent - Health6/11/200212/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/200711/21/2011
InactiveAetna Life Insurance Company301140Agent - Health3/19/199911/21/2011
InactiveAetna Life Insurance Company301140Agent - Life3/19/199911/21/2011
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health8/25/20054/10/2018
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life8/25/20054/10/2018
InactiveAmerican United Life Insurance Company300498Agent - Health5/8/19963/13/2000
InactiveAmerican United Life Insurance Company300498Agent - Life5/8/19963/13/2000
InactiveAmeritas Life Insurance Corporation300126Agent - Health5/26/199910/23/2006
InactiveAmeritas Life Insurance Corporation300126Agent - Life5/26/199910/23/2006
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/200111/2/2016
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization12/14/19883/1/2001
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/21/200110/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health9/27/199311/2/2016
InactiveAnthem Life Insurance Company301209Agent - Life9/27/199311/2/2016
InactiveAssurity Life Insurance Company301099Agent - Health6/5/200012/19/2000
InactiveAssurity Life Insurance Company301099Agent - Life6/5/200012/19/2000
InactiveAthene Annuity & Life Assurance Company301798Agent - Health9/18/19966/7/2007
InactiveAthene Annuity & Life Assurance Company301798Agent - Life9/18/19966/7/2007
InactiveBanner Life Insurance Company301696Agent - Life7/15/20023/31/2018
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/27/20019/16/2013
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/27/20019/16/2013
InactiveBrighthouse Life Insurance Company301829Agent - Health1/25/199012/28/2007
InactiveBrighthouse Life Insurance Company301829Agent - Life1/25/199012/28/2006
InactiveC.M. Life Insurance Company301335Agent - Health3/19/199711/16/2012
InactiveC.M. Life Insurance Company301335Agent - Life3/19/199711/16/2012
InactiveCHA HMO, Inc.300662Agent - Health12/3/200310/10/2014
InactiveCIGNA Health & Life Insurance Company301783Agent - Health8/19/19944/9/2003
InactiveCIGNA Health & Life Insurance Company301783Agent - Life8/19/19944/9/2003
InactiveCanada Life Assurance Company301192Agent - Health10/26/19989/30/2003
InactiveCanada Life Assurance Company301192Agent - Life10/26/19989/30/2003
InactiveCentennial Life Insurance Company (The)301561Agent - Health9/19/19953/31/1997
InactiveCentennial Life Insurance Company (The)301561Agent - Life9/19/19953/31/1997
InactiveChase Insurance Life and Annuity Company300518Agent - Health11/12/19913/31/1997
InactiveChase Insurance Life and Annuity Company300518Agent - Life11/12/19913/31/1997
InactiveCitizens Security Life Insurance Company301257Agent - Health4/3/19893/31/2018
InactiveCitizens Security Life Insurance Company301257Agent - Life4/3/19893/31/2018
InactiveColonial Life and Accident Insurance Company300846Agent - Health6/29/200112/21/2012
InactiveColonial Life and Accident Insurance Company300846Agent - Life6/29/200112/21/2012
InactiveCompBenefits Dental, Inc.591692Agent - Health4/25/20083/31/2018
InactiveCompBenefits Insurance Company301864Agent - Health4/25/20087/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life4/25/20087/2/2013
InactiveCompanion Life Insurance Company300191Agent - Health2/28/19951/18/2007
InactiveCompanion Life Insurance Company300191Agent - Life2/28/19951/18/2007
InactiveConseco Medical Insurance Company300719Agent - Health10/25/19953/23/1998
InactiveConseco Medical Insurance Company300719Agent - Life10/25/19953/23/1998
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20093/31/2018
InactiveEmpower Annuity Insurance Company of America300259Agent - Health11/4/199212/30/1998
InactiveEmpower Annuity Insurance Company of America300259Agent - Life11/4/199212/30/1998
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Health12/9/199810/29/2008
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life12/9/199810/29/2008
InactiveFirst Colony Life Insurance Company301179Agent - Life4/21/19891/1/2007
InactiveFort Wayne Health & Casualty Insurance Company301572Agent - Health11/9/199012/22/2004
InactiveGeneral American Life Insurance Company300280Agent - Health8/12/19883/31/1997
InactiveGeneral American Life Insurance Company300280Agent - Life8/12/19883/31/1997
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health5/14/199612/22/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life5/14/199612/22/2016
InactiveGolden Rule Insurance Company301943Agent - Health10/13/20059/22/2008
InactiveGolden Rule Insurance Company301943Agent - Life10/13/20059/22/2008
InactiveGuarantee Life Insurance Company301560Agent - Health4/14/19949/8/2000
InactiveGuarantee Life Insurance Company301560Agent - Life4/14/19949/8/2000
InactiveGuardian Life Insurance Company of America301316Agent - Health5/15/19913/31/2018
InactiveGuardian Life Insurance Company of America301316Agent - Life5/15/19913/31/2018
InactiveHCC Life Insurance Company301827Agent - Health9/11/19981/30/2003
InactiveHCC Life Insurance Company301827Agent - Life9/11/19981/30/2003
InactiveHartford Accident and Indemnity Company301917Agent - Health7/13/19893/31/2018
InactiveHartford Life Group Insurance Company301708Agent - Health4/8/200412/31/2006
InactiveHartford Life Group Insurance Company301708Agent - Life4/8/200412/31/2006
InactiveHartford Life and Accident Insurance Company300878Agent - Health7/28/19893/31/2018
InactiveHartford Life and Accident Insurance Company300878Agent - Life7/28/19893/31/2018
InactiveHealth Resources Inc.301210Agent - Health4/16/200112/31/2014
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20013/31/2018
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization1/22/19923/1/2001
InactiveHumana Insurance Company301104Agent - Health8/21/19913/31/2018
InactiveHumana Insurance Company300118Agent - Health6/7/199512/30/1998
InactiveHumana Insurance Company301104Agent - Life8/21/19913/31/2018
InactiveHumana Insurance Company300118Agent - Life6/7/199512/30/1998
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/17/20073/31/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/17/20073/31/2018
InactiveHumanaDental Insurance Company301457Agent - Health10/17/20072/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life10/17/20072/23/2012
InactiveIllinois Mutual Life Insurance Company301479Agent - Health12/10/200212/13/2005
InactiveIllinois Mutual Life Insurance Company301479Agent - Life12/10/200212/13/2005
InactiveJackson National Life Insurance Company300486Agent - Life7/19/19905/19/1999
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health9/8/20007/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life9/8/20007/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health6/1/19984/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life6/1/19984/2/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health4/25/19903/31/1997
InactiveJohn Alden Life Insurance Company300573Agent - Life4/25/19903/31/1997
InactiveKanawha Insurance Company300127Agent - Health2/17/20094/25/2013
InactiveKanawha Insurance Company300127Agent - Life8/14/201310/22/2015
InactiveLife Insurance Company of North America300711Agent - Health8/16/19883/31/2018
InactiveLife Insurance Company of North America300711Agent - Life8/16/19883/31/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Health4/2/20078/29/2017
InactiveLincoln National Life Insurance Company (The)301382Agent - Life4/2/20078/29/2017
InactiveLincoln National Reassurance Company301919Agent - Health12/15/19941/6/2003
InactiveLincoln National Reassurance Company301919Agent - Life12/15/19941/6/2003
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health12/29/199411/16/2012
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life12/29/199411/16/2012
InactiveMetLife Investors USA Insurance Company300845Agent - Health2/14/200811/14/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life2/14/200811/14/2009
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Health10/20/199912/28/2006
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life10/20/199912/28/2006
InactiveMetropolitan Life Insurance Company301948Agent - Health12/14/20063/31/2018
InactiveMetropolitan Life Insurance Company301948Agent - Life4/6/19953/31/2018
InactiveMutual of Omaha Insurance Company301012Agent - Health4/13/200712/26/2012
InactiveNorth American Company for Life and Health Insurance300291Agent - Life7/13/19923/31/1997
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health11/7/19941/31/1997
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life11/7/19941/31/1997
InactivePan-American Assurance Company301533Agent - Health7/19/200212/20/2004
InactivePan-American Assurance Company301533Agent - Life7/19/200212/20/2004
InactivePan-American Life Insurance Company301530Agent - Health7/19/200212/20/2004
InactivePan-American Life Insurance Company301530Agent - Life7/19/200212/20/2004
InactivePaul Revere Life Insurance Company300971Agent - Health11/1/199512/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life11/1/199512/8/2006
InactivePrincipal Life Insurance Company300129Agent - Health4/4/19883/31/2018
InactivePrincipal Life Insurance Company300129Agent - Life4/4/19883/31/2018
InactiveProtective Life Insurance Company300638Agent - Health1/1/200712/13/2010
InactiveProtective Life Insurance Company300638Agent - Life1/1/200712/13/2010
InactiveProvident Life and Accident Insurance Company301525Agent - Health6/25/199111/10/2004
InactiveProvident Life and Accident Insurance Company301525Agent - Life6/25/199111/10/2004
InactivePruco Life Insurance Company300954Agent - Health2/18/201012/23/2014
InactivePruco Life Insurance Company300954Agent - Life2/18/201012/23/2014
InactivePrudential Insurance Company of America300784Agent - Health12/27/199512/17/2004
InactivePrudential Insurance Company of America300784Agent - Life12/27/199512/17/2004
InactiveReassure America Life Insurance Company300678Agent - Health3/7/199412/31/1998
InactiveReassure America Life Insurance Company301902Agent - Health1/17/19969/3/2004
InactiveReassure America Life Insurance Company300678Agent - Life3/7/199412/31/1998
InactiveReassure America Life Insurance Company301902Agent - Life1/17/19969/3/2004
InactiveReliaStar Life Insurance Company301712Agent - Health10/1/200310/31/2004
InactiveReliaStar Life Insurance Company301712Agent - Life3/20/200810/6/2012
InactiveReliance Standard Life Insurance Company300584Agent - Health10/7/19943/31/2018
InactiveReliance Standard Life Insurance Company300584Agent - Life10/7/19943/31/2018
InactiveSecurity Life Insurance Company of America300936Agent - Health1/12/199611/29/2001
InactiveSecurity Life Insurance Company of America300936Agent - Life1/12/199611/29/2001
InactiveSecurity Life of Denver Insurance Company300648Agent - Health9/5/19962/14/2005
InactiveSecurity Life of Denver Insurance Company300648Agent - Life3/20/20089/29/2012
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health8/14/199910/1/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life8/14/199910/1/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health9/30/199610/12/1999
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life9/30/199610/12/1999
InactiveShenandoah Life Insurance Company300130Agent - Health3/8/199312/19/2001
InactiveShenandoah Life Insurance Company300130Agent - Life3/8/199312/19/2001
InactiveStandard Insurance Company300185Agent - Health2/27/20013/31/2018
InactiveStandard Insurance Company300185Agent - Life2/27/20013/31/2018
InactiveState Life Insurance Company301497Agent - Health3/20/20031/24/2007
InactiveState Life Insurance Company301497Agent - Life3/20/20031/24/2007
InactiveSun Life Assurance Company of Canada301811Agent - Health12/8/20103/31/2018
InactiveSun Life Assurance Company of Canada301811Agent - Life5/17/20063/31/2018
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health1/7/20033/31/2018
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life1/7/20033/31/2018
InactiveSwiss Re Life & Health America, Inc.300722Agent - Health1/6/200312/22/2004
InactiveSwiss Re Life & Health America, Inc.300722Agent - Life1/6/200312/22/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Health7/28/19893/31/2018
InactiveTalcott Resolution Life Insurance Company301759Agent - Life7/28/19893/31/2018
InactiveTime Insurance Company300683Agent - Health11/8/19952/20/2001
InactiveTime Insurance Company300683Agent - Life11/8/19952/20/2001
InactiveTransamerica Life Insurance Company300571Agent - Health10/1/20083/31/2018
InactiveTransamerica Life Insurance Company300571Agent - Life10/1/20083/31/2018
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health3/25/199910/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life3/25/199910/1/2008
InactiveU.S. Financial Life Insurance Company301812Agent - Life8/22/20029/18/2007
InactiveUNUM Life Insurance Company of America300817Agent - Health1/16/200111/10/2004
InactiveUNUM Life Insurance Company of America300817Agent - Life1/16/200111/10/2004
InactiveUSG Annuity & Life Company300457Agent - Life3/15/19941/1/2004
InactiveUnion Security Insurance Company301844Agent - Health10/1/19913/12/2013
InactiveUnion Security Insurance Company301844Agent - Life10/1/19913/12/2013
InactiveUnited Teacher Associates Insurance Company300747Agent - Health5/16/20052/18/2011
InactiveUnited Teacher Associates Insurance Company300747Agent - Life5/16/20052/18/2011
InactiveUnited World Life Insurance Company300532Agent - Health4/13/200712/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health4/13/200712/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life4/13/200712/26/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/24/199511/29/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life4/24/199511/29/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health9/26/19953/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life9/26/19953/31/1997
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/24/200111/29/2016
InactiveVenerable Insurance and Annuity Company301006Agent - Life1/1/20042/24/2005
InactiveWilcac Life Insurance Company301573Agent - Health10/10/199611/13/2000
InactiveWilcac Life Insurance Company301573Agent - Life10/10/199611/13/2000
Inactive300277Agent - Health3/15/19961/1/2007
Inactive300277Agent - Life3/15/19961/1/2007
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Health7/2/199212/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Life7/2/199212/31/2001
InactiveBlaine, Kevin Wood 345907Agent - Health2/8/199411/16/1998
InactiveBlaine, Kevin Wood 345907Agent - Life2/8/199411/16/1998
InactiveClark, Charles Philip 354597Agent - Health3/3/19883/31/2018
InactiveClark, Charles Philip 354597Agent - Life3/3/19883/31/2018
InactiveDental Choice Agency Inc.398085Agent - Health3/1/200112/31/2001
InactiveDental Choice Agency Inc.398085Agent - Prepaid Dental Plan8/9/19993/1/2001
InactiveEdds, Hugh David 381962Agent - Health5/23/20055/1/2012
InactiveEdds, Hugh David 381962Agent - Life5/23/20055/1/2012
InactiveGoetz, Gerald P 504060Agent - Health1/5/20043/31/2018
InactiveGoetz, Gerald P 504060Agent - Life1/5/20043/31/2018
InactiveHoffer, Harry Craig 346055Agent - Health10/24/19913/31/2018
InactiveHoffer, Harry Craig 346055Agent - Life10/24/19913/31/2018
DeniedMcDonough, Bradley Jay 565102Agent - Health  
InactiveMcDonough, Bradley Jay 565102Agent - Life2/19/200712/14/2007
InactiveMurphy, Tonya G 604895Agent - Health2/19/20073/1/2010
InactiveMurphy, Tonya G 604895Agent - Life2/19/20073/1/2010
InactiveRoberts, Deborah D 382041Agent - Health6/3/20053/31/2018
InactiveRoberts, Deborah D 382041Agent - Life6/3/20053/31/2018
InactiveRowe, Pamela J 302715Agent - Health10/14/20053/31/2018
InactiveRowe, Pamela J 302715Agent - Life10/14/20053/31/2018
InactiveSettles, Christine Janet 342471Agent - Health11/28/19892/19/2007
InactiveSettles, Christine Janet 342471Agent - Life11/28/19892/19/2007
InactiveWeafer, James D 596773Agent - Health2/22/200512/2/2015
InactiveWeafer, James D 596773Agent - Life2/22/200512/8/2015

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