DEPARTMENT OF INSURANCE
Affiliations
NameClark Securities, Inc.DOIID546734NAIC NPN4800132
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth4/15/20023/31/2018 
InactiveNon ResidentAgentVariable Life and Variable Annuities4/15/20023/31/2018 
InactiveNon ResidentAgentLife4/15/20023/31/2018 
* 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 - Health4/11/20063/31/2018
InactiveAllianz Life Insurance Company of North America301791Agent - Life4/11/20063/31/2018
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities4/11/20063/31/2018
InactiveAmerican General Life Insurance Company301585Agent - Health2/13/200311/9/2012
InactiveAmerican General Life Insurance Company301585Agent - Life2/13/200311/9/2012
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities2/13/200311/9/2012
InactiveC.M. Life Insurance Company301335Agent - Health7/11/20053/31/2018
InactiveC.M. Life Insurance Company301335Agent - Life7/11/20053/31/2018
InactiveC.M. Life Insurance Company301335Agent - Variable Life and Variable Annuities7/12/20053/31/2018
InactiveConnecticut General Life Insurance Company301333Agent - Health6/14/20023/31/2018
InactiveConnecticut General Life Insurance Company301333Agent - Life6/14/20023/31/2018
InactiveDelaware Life Insurance Company301256Agent - Life8/7/20063/31/2018
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities8/7/20063/31/2018
InactiveEmpower Annuity Insurance Company of America300259Agent - Health5/6/20021/3/2012
InactiveEmpower Annuity Insurance Company of America300259Agent - Life5/6/20023/31/2018
InactiveEmpower Annuity Insurance Company of America300259Agent - Variable Life and Variable Annuities5/6/20023/31/2018
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life5/6/20023/31/2018
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities5/6/20023/31/2018
InactiveGeneral American Life Insurance Company300280Agent - Health5/27/200411/19/2009
InactiveGeneral American Life Insurance Company300280Agent - Life5/27/200411/19/2009
InactiveGeneral American Life Insurance Company300280Agent - Variable Life and Variable Annuities5/27/200411/19/2009
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life1/28/20043/31/2018
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities1/28/20043/31/2018
InactiveJohn Hancock Life Insurance Company300821Agent - Health5/23/200212/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life5/23/200212/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Variable Life and Variable Annuities5/23/200212/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/20083/31/2018
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life5/6/20023/31/2018
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities5/6/20023/31/2018
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Health5/23/20022/24/2009
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life5/23/20022/24/2009
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Variable Life and Variable Annuities5/23/20022/24/2009
InactiveLife Investors Insurance Company of America301793Agent - Life8/3/20066/19/2008
InactiveLife Investors Insurance Company of America301793Agent - Variable Life and Variable Annuities8/3/20066/19/2008
InactiveLincoln Benefit Life Company301110Agent - Health4/27/20065/30/2013
InactiveLincoln Benefit Life Company301110Agent - Life4/27/20065/30/2013
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities4/27/20065/30/2013
InactiveLincoln National Life Insurance Company (The)301382Agent - Health5/2/200211/1/2017
InactiveLincoln National Life Insurance Company (The)301382Agent - Life5/2/200211/1/2017
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/2/200211/1/2017
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health7/11/20053/31/2018
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life7/11/20053/31/2018
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities7/12/20053/31/2018
InactiveMetLife Investors USA Insurance Company300845Agent - Health1/16/200711/19/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life1/16/200711/19/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities1/16/200711/19/2009
InactiveMetropolitan Life Insurance Company301948Agent - Health5/31/200211/18/2016
InactiveMetropolitan Life Insurance Company301948Agent - Life5/31/20023/31/2018
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities5/31/20023/31/2018
InactiveNassau Life Insurance Company301406Agent - Health5/3/20021/31/2013
InactiveNassau Life Insurance Company301406Agent - Life5/3/20027/22/2011
InactiveNassau Life Insurance Company301406Agent - Variable Life and Variable Annuities5/3/20027/22/2011
InactiveNationwide Life Insurance Company300495Agent - Health11/16/20072/28/2017
InactiveNationwide Life Insurance Company300495Agent - Life11/16/20072/28/2017
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities11/16/20072/28/2017
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life10/30/20033/1/2017
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities10/30/20033/1/2017
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life10/7/20037/27/2017
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities10/7/20037/27/2017
InactivePHL Variable Insurance Company300525Agent - Health5/3/20022/1/2013
InactivePHL Variable Insurance Company300525Agent - Life5/3/20021/4/2013
InactivePHL Variable Insurance Company300525Agent - Variable Life and Variable Annuities5/3/20021/4/2013
InactivePacific Life Insurance Company301848Agent - Life9/30/20023/3/2017
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities9/30/20023/3/2017
InactivePruco Life Insurance Company300954Agent - Health5/17/20023/31/2018
InactivePruco Life Insurance Company300954Agent - Life5/17/20023/31/2018
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities5/17/20023/31/2018
InactivePrudential Insurance Company of America300784Agent - Health5/17/20023/31/2018
InactivePrudential Insurance Company of America300784Agent - Life5/17/20023/31/2018
InactivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities5/17/20023/31/2018
InactiveSecurity Life of Denver Insurance Company300648Agent - Life4/29/20024/13/2017
InactiveSecurity Life of Denver Insurance Company300648Agent - Variable Life and Variable Annuities4/29/20024/13/2017
InactiveTalcott Resolution Life Insurance Company301759Agent - Health5/1/20025/2/2017
InactiveTalcott Resolution Life Insurance Company301759Agent - Life5/1/20025/2/2017
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities5/1/20025/2/2017
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health5/1/20025/2/2017
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life5/1/20025/2/2017
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities5/1/20025/2/2017
InactiveTransamerica Life Insurance Company300571Agent - Health4/15/20023/31/2018
InactiveTransamerica Life Insurance Company300571Agent - Life4/15/20023/31/2018
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities4/15/20023/31/2018
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life8/3/20066/30/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Variable Life and Variable Annuities8/3/20066/30/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Life8/9/200512/5/2015
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities8/9/200512/5/2015
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life5/6/20026/30/2008
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Variable Life and Variable Annuities5/6/20026/30/2008
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBallou, Kevin 522771Agent - Health4/29/20109/30/2012
InactiveBallou, Kevin 522771Agent - Life4/29/20109/30/2012
InactiveBallou, Kevin 522771Agent - Variable Life and Variable Annuities4/29/20109/30/2012
InactiveCook, Traci 721883Agent - Health3/24/20113/31/2018
InactiveCook, Traci 721883Agent - Life3/24/20113/31/2018
InactiveCook, Traci 721883Agent - Variable Life and Variable Annuities3/24/20113/31/2018
InactiveHuerta, Carlos Alberto 602003Agent - Health5/4/20109/9/2010
InactiveHuerta, Carlos Alberto 602003Agent - Life5/4/20109/9/2010
InactiveHuerta, Carlos Alberto 602003Agent - Variable Life and Variable Annuities5/4/20109/9/2010
InactiveImes, Brenda D. 520728Agent - Health4/15/200211/4/2009
InactiveImes, Brenda D. 520728Agent - Life4/15/200211/4/2009
InactiveImes, Brenda D. 520728Agent - Variable Life and Variable Annuities4/15/200211/4/2009

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