DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Norris Lee	DOIID	501820	NAIC NPN	3078142

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	12/21/1999	4/1/2011
Inactive	Resident	Agent	Health	12/21/1999	4/1/2011
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	10/21/2008	2/5/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/21/2008	2/5/2010
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	11/17/2005	3/23/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	9/17/2003	4/1/2011
Inactive	American General Life Insurance Company	301585	Agent - Life	9/17/2003	4/1/2011
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	9/25/2003	1/12/2005
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/25/2003	1/12/2005
Inactive	American Public Life Insurance Company	300252	Agent - Health	9/19/2006	2/18/2010
Inactive	American Public Life Insurance Company	300252	Agent - Life	9/19/2006	2/18/2010
Inactive	American Republic Insurance Company	300861	Agent - Health	6/10/2009	12/7/2009
Inactive	American Republic Insurance Company	300861	Agent - Life	6/9/2009	12/7/2009
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Health	2/14/2006	12/19/2006
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	2/14/2006	12/19/2006
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	12/2/2004	5/21/2010
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/2/2004	5/21/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Health	1/26/2006	8/3/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	3/10/2006	8/3/2009
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	12/7/2004	4/1/2007
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/6/2004	12/29/2008
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	1/6/2004	12/29/2008
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/31/2008	4/1/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Health	7/31/2008	4/1/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/31/2008	4/1/2011
Inactive	Conseco Insurance Company	301202	Agent - Life	12/29/2000	10/3/2003
Inactive	Continental General Insurance Company	300691	Agent - Health	6/3/2005	12/12/2005
Inactive	Continental General Insurance Company	300691	Agent - Life	6/3/2005	12/12/2005
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	4/1/2011
Inactive	Encova Life Insurance Company	301818	Agent - Life	8/31/2004	2/10/2011
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	11/21/2006	12/31/2008
Inactive	Essence Healthcare, Inc.	657425	Agent - Health	11/6/2009	4/1/2011
Inactive	Family Life Insurance Company	300356	Agent - Health	7/16/2009	12/28/2010
Inactive	Family Life Insurance Company	300356	Agent - Life	7/16/2009	12/28/2010
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	12/21/1999	3/3/2009
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	12/21/1999	3/3/2009
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	5/29/2007	4/1/2011
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/8/2010	4/1/2011
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/17/2007	4/1/2011
Inactive	Genworth Life Insurance Company	300623	Agent - Life	12/29/2005	4/1/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/18/2009	4/1/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Life	9/18/2009	4/1/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/17/2006	4/1/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/17/2006	4/1/2011
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	11/27/2002	12/27/2007
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	11/27/2002	12/27/2007
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/3/2008	4/1/2011
Inactive	Humana Insurance Company	301104	Agent - Health	4/3/2008	4/1/2011
Inactive	Humana Insurance Company	301104	Agent - Life	4/3/2008	4/1/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/31/2008	4/1/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/31/2008	4/1/2011
Inactive	Independent Order of Foresters	300743	Agent - Life	12/19/2009	4/1/2011
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	1/3/2001	5/6/2003
Inactive	Industrial Alliance Pacific Insurance and Financial Services, Inc.	612512	Agent - Life	1/9/2006	1/14/2008
Inactive	Inter-State Assurance Company	301556	Agent - Life	8/18/2000	1/2/2002
Inactive	Investors Life Insurance Company of North America	301660	Agent - Life	3/7/2007	11/29/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	6/18/2009	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	6/18/2009	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/30/2009	4/1/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/30/2009	12/31/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/31/2008	4/1/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/31/2008	4/1/2011
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	6/9/2009	12/7/2009
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	2/6/2001	7/19/2005
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	8/28/2000	7/19/2005
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	10/19/2001	10/2/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	10/19/2001	10/2/2008
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	5/22/2008	12/7/2010
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	5/22/2008	12/7/2010
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	5/23/2002	12/15/2003
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	5/23/2002	12/15/2003
Inactive	Midland National Life Insurance Company	300923	Agent - Life	9/20/2005	3/28/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/11/2006	4/1/2011
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Life	10/20/2000	1/19/2001
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	7/14/2009	4/1/2011
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	7/14/2009	4/1/2011
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	2/10/2004	9/8/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	2/10/2004	9/8/2005
Inactive	National Western Life Insurance Company	301515	Agent - Health	5/17/2004	2/3/2005
Inactive	National Western Life Insurance Company	301515	Agent - Life	5/17/2004	2/3/2005
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	1/25/2001	12/30/2002
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	1/25/2001	12/30/2002
Inactive	New York Life Insurance Company	300431	Agent - Health	10/20/2000	1/19/2001
Inactive	New York Life Insurance Company	300431	Agent - Life	10/20/2000	1/19/2001
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	10/20/2000	1/19/2001
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	5/10/2005	12/1/2008
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	5/10/2005	12/1/2008
Inactive	Oxford Life Insurance Company	301079	Agent - Life	5/8/2009	1/20/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	5/11/2006	3/8/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	5/11/2006	4/1/2011
Inactive	Pan-American Assurance Company	301533	Agent - Life	6/25/2003	5/25/2004
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	6/25/2003	5/25/2004
Inactive	Physicians Life Insurance Company	300924	Agent - Health	9/11/2005	12/8/2006
Inactive	Physicians Life Insurance Company	300924	Agent - Life	9/11/2005	12/8/2006
Inactive	Pioneer Security Life Insurance Company	301344	Agent - Health	6/23/2005	1/30/2006
Inactive	Pioneer Security Life Insurance Company	301344	Agent - Life	6/23/2005	1/30/2006
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/30/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Health	3/27/2007	12/22/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/27/2007	12/22/2008
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	2/21/2003	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	2/21/2003	9/3/2004
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	2/20/2002	4/27/2004
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	2/20/2002	4/27/2004
Inactive	Standard Life Insurance Company of Indiana	300116	Agent - Health	10/19/2006	3/31/2009
Inactive	Standard Life Insurance Company of Indiana	300116	Agent - Life	10/19/2006	3/31/2009
Inactive	Time Insurance Company	300683	Agent - Health	9/8/2008	12/14/2010
Inactive	Time Insurance Company	300683	Agent - Life	9/8/2008	12/14/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/4/2008	4/1/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/4/2008	4/1/2011
Inactive	United American Insurance Company	300910	Agent - Health	9/27/2003	12/15/2008
Inactive	United Home Life Insurance Company	300421	Agent - Life	8/31/2004	11/29/2010
Inactive	United Investors Life Insurance Company	301873	Agent - Life	12/27/2000	3/28/2001
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	8/25/2006	4/1/2011
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	8/25/2006	4/1/2011
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	5/22/2008	12/7/2010
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	5/22/2008	12/7/2010
Inactive	United World Life Insurance Company	300532	Agent - Health	10/11/2006	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/11/2006	4/1/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/2/2007	3/8/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/2/2007	4/1/2011
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	3/2/2005	6/21/2006
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	3/2/2005	6/21/2006
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	5/12/2004	12/1/2007
Inactive	WellCare Health Insurance of Arizona, Inc.	501692	Agent - Health	7/28/2008	4/29/2010
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/28/2008	5/5/2010
Inactive	West Coast Life Insurance Company	301607	Agent - Health	3/14/2007	4/1/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	3/14/2007	4/1/2011
Inactive	Wilco Life Insurance Company	300122	Agent - Life	12/4/2000	9/10/2003
Inactive	World Insurance Company	300396	Agent - Health	6/25/2009	3/19/2010
Inactive	World Insurance Company	300396	Agent - Life	6/25/2009	3/19/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	2/13/2008	4/1/2011
Inactive	Medlink Inc	400721	Agent - Health	2/13/2008	4/1/2011