DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Garry M	DOIID	543483	NAIC NPN	562623

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	1/2/2002	4/30/2019
Inactive	Non Resident	Agent	Health	1/2/2002	4/30/2019
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/18/2014	4/30/2019
Inactive	Aetna Health Insurance Company	301583	Agent - Health	8/18/2014	4/30/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/18/2014	4/30/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/18/2014	4/30/2019
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	2/5/2014	1/9/2019
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	5/8/2014	1/9/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/12/2011	5/20/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	8/13/2013	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	8/13/2013	6/11/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/12/2011	5/20/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/18/2014	4/30/2019
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/22/2012	12/14/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/22/2012	12/14/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/12/2005	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/12/2005	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	11/12/2005	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/12/2011	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/12/2011	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	12/3/2003	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	12/3/2003	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	4/11/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	4/11/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/8/2013	2/13/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/8/2013	2/13/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/10/2004	11/26/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/10/2004	11/26/2009
Inactive	USAA Life Insurance Company	300734	Agent - Health	1/2/2002	7/17/2018
Inactive	USAA Life Insurance Company	300734	Agent - Life	1/2/2002	7/17/2018
Inactive	Vision Service Plan Insurance Company	300526	Agent - Health	2/6/2014	8/21/2018
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019	4/30/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Health	2/1/2008	8/19/2018
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Life	2/1/2008	8/19/2018
Inactive	USAA Life General Agency Inc	399318	Agent - Health	2/27/2003	8/19/2018
Inactive	USAA Life General Agency Inc	399318	Agent - Life	2/27/2003	8/19/2018