DEPARTMENT OF INSURANCE
Affiliations
NameClark, Charles RDOIID559327NAIC NPN7494330
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife11/14/2002 11/30/2025
ActiveResidentAgentHealth11/14/2002 11/30/2025
* 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
ActiveAetna Health and Life Insurance Company300523Agent - Health8/31/2015 
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life4/17/201312/23/2013
ActiveAmerican National Insurance Company301861Agent - Life2/10/2021 
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health10/19/20071/9/2012
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life3/15/20216/7/2022
InactiveArcadian Health Plan, Inc.728196Agent - Health7/24/20203/9/2021
InactiveAtlantic Coast Life Insurance Company642114Agent - Health2/22/201912/31/2020
InactiveAtlantic Coast Life Insurance Company642114Agent - Life2/22/201912/31/2020
InactiveColorado Bankers Life Insurance Company301845Agent - Health5/15/20073/30/2011
InactiveColorado Bankers Life Insurance Company301845Agent - Life5/15/20073/30/2011
InactiveColumbian Life Insurance Company300810Agent - Health7/18/20057/1/2013
ActiveColumbian Life Insurance Company300810Agent - Life3/10/2015 
InactiveCompBenefits Dental, Inc.591692Agent - Health11/6/20094/13/2015
InactiveCompBenefits Insurance Company301864Agent - Health11/6/20097/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life11/6/20097/2/2013
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/24/20067/3/2008
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/24/20067/3/2008
InactiveCotton States Life Insurance Company300268Agent - Life8/26/20051/10/2006
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20094/13/2015
InactiveEquiTrust Life Insurance Company502870Agent - Life11/20/20153/9/2021
InactiveEverly Life Insurance Company561641Agent - Life3/21/201611/14/2018
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life5/8/2015 
ActiveForethought Life Insurance Company301407Agent - Health2/28/2019 
ActiveForethought Life Insurance Company301407Agent - Life2/28/2019 
InactiveGreat Southern Life Insurance Company301443Agent - Health3/15/20216/7/2022
InactiveGuarantee Reserve Life Insurance Company300608Agent - Health11/26/200212/31/2003
InactiveGuarantee Reserve Life Insurance Company300608Agent - Life11/26/200212/31/2003
ActiveHomesteaders Life Company300836Agent - Life8/1/2011 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health7/24/20203/9/2021
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health7/24/20203/9/2021
InactiveHumana Health Plan, Inc.300142Agent - Health12/28/20044/13/2015
InactiveHumana Insurance Company301104Agent - Health7/24/20203/9/2021
InactiveHumana Insurance Company301104Agent - Life12/28/20044/13/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Health12/28/20044/13/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life12/28/20044/13/2015
InactiveHumana Medical Plan, Inc.801568Agent - Health7/24/20203/9/2021
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health7/24/20203/9/2021
InactiveIndependent Order of Foresters300743Agent - Life5/4/201511/26/2017
InactiveInvestors Heritage Life Insurance Company300363Agent - Life4/22/20049/16/2005
InactiveJohn Hancock Life Insurance Company300821Agent - Health11/13/20036/7/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Life11/13/20036/7/2008
InactiveKanawha Insurance Company300127Agent - Health11/6/20094/13/2015
InactiveKanawha Insurance Company300127Agent - Life11/6/20094/13/2015
InactiveLiberty National Life Insurance Company300827Agent - Health1/30/200912/28/2012
InactiveLiberty National Life Insurance Company300827Agent - Life1/30/200912/28/2012
InactiveLincoln Heritage Life Insurance Company500016Agent - Health11/16/20104/9/2024
InactiveLincoln Heritage Life Insurance Company500016Agent - Life11/16/20104/9/2024
InactiveLincoln National Life Insurance Company (The)301382Agent - Health9/19/201112/9/2013
InactiveLincoln National Life Insurance Company (The)301382Agent - Life9/19/201112/9/2013
InactiveLumico Life Insurance Company300354Agent - Health6/29/202011/24/2020
ActiveMadison National Life Insurance Company Inc.301458Agent - Health12/21/2010 
InactiveMadison National Life Insurance Company Inc.301458Agent - Life12/21/20107/8/2015
InactiveNational Guardian Life Insurance Company300596Agent - Health11/3/200410/30/2006
InactiveNational Guardian Life Insurance Company300596Agent - Life11/3/200410/30/2006
InactiveNorth American Company for Life and Health Insurance300291Agent - Health7/19/20113/24/2014
ActiveNorth American Company for Life and Health Insurance300291Agent - Life7/9/2015 
ActivePan-American Life Insurance Company301530Agent - Life2/22/2024 
InactiveReassure America Life Insurance Company300678Agent - Health12/31/20031/7/2005
InactiveReassure America Life Insurance Company300678Agent - Life12/31/20031/7/2005
InactiveShenandoah Life Insurance Company300130Agent - Health3/7/20063/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life3/7/200610/19/2007
InactiveSouthern Financial Life Insurance Company300664Agent - Life2/9/201012/23/2011
InactiveStandard Life and Accident Insurance Company301534Agent - Health2/28/200311/28/2006
InactiveStandard Life and Accident Insurance Company301534Agent - Life2/28/200311/28/2006
InactiveUnion Bankers Insurance Company301769Agent - Health8/1/20054/26/2007
InactiveUnion Bankers Insurance Company301769Agent - Life8/1/20054/26/2007
InactiveUnited American Insurance Company300910Agent - Health12/6/20023/3/2021
InactiveUnited American Insurance Company300910Agent - Life12/6/20023/3/2021
ActiveUnited Life Insurance Company664766Agent - Life10/20/2023 
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/20/20202/21/2022
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health7/20/20202/21/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/20/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/20/20202/21/2022
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health8/18/202012/28/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health8/18/202012/29/2021
InactiveWest Coast Life Insurance Company301607Agent - Health6/30/200911/16/2011
InactiveWest Coast Life Insurance Company301607Agent - Life6/30/200911/16/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMHMC, Inc574772Agent - Life1/19/20073/31/2021
ActiveNarrow Gate Farm, LLC638306Agent - Health8/16/2006 
ActiveNarrow Gate Farm, LLC638306Agent - Life8/16/2006 

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