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DEPARTMENT OF INSURANCE
Affiliations
Name
Clark, Charles R
DOIID
559327
NAIC NPN
7494330
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Life
11/14/2002
11/30/2025
Active
Resident
Agent
Health
11/14/2002
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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Aetna Health and Life Insurance Company
300523
Agent - Health
8/31/2015
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
4/17/2013
12/23/2013
Active
American National Insurance Company
301861
Agent - Life
2/10/2021
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Health
10/19/2007
1/9/2012
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Life
3/15/2021
6/7/2022
Inactive
Arcadian Health Plan, Inc.
728196
Agent - Health
7/24/2020
3/9/2021
Inactive
Atlantic Coast Life Insurance Company
642114
Agent - Health
2/22/2019
12/31/2020
Inactive
Atlantic Coast Life Insurance Company
642114
Agent - Life
2/22/2019
12/31/2020
Inactive
Colorado Bankers Life Insurance Company
301845
Agent - Health
5/15/2007
3/30/2011
Inactive
Colorado Bankers Life Insurance Company
301845
Agent - Life
5/15/2007
3/30/2011
Inactive
Columbian Life Insurance Company
300810
Agent - Health
7/18/2005
7/1/2013
Active
Columbian Life Insurance Company
300810
Agent - Life
3/10/2015
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
11/6/2009
4/13/2015
Inactive
CompBenefits Insurance Company
301864
Agent - Health
11/6/2009
7/2/2013
Inactive
CompBenefits Insurance Company
301864
Agent - Life
11/6/2009
7/2/2013
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
3/24/2006
7/3/2008
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Life
3/24/2006
7/3/2008
Inactive
Cotton States Life Insurance Company
300268
Agent - Life
8/26/2005
1/10/2006
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/21/2009
4/13/2015
Inactive
EquiTrust Life Insurance Company
502870
Agent - Life
11/20/2015
3/9/2021
Inactive
Everly Life Insurance Company
561641
Agent - Life
3/21/2016
11/14/2018
Active
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
5/8/2015
Active
Forethought Life Insurance Company
301407
Agent - Health
2/28/2019
Active
Forethought Life Insurance Company
301407
Agent - Life
2/28/2019
Inactive
Great Southern Life Insurance Company
301443
Agent - Health
3/15/2021
6/7/2022
Inactive
Guarantee Reserve Life Insurance Company
300608
Agent - Health
11/26/2002
12/31/2003
Inactive
Guarantee Reserve Life Insurance Company
300608
Agent - Life
11/26/2002
12/31/2003
Active
Homesteaders Life Company
300836
Agent - Life
8/1/2011
Inactive
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
7/24/2020
3/9/2021
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
7/24/2020
3/9/2021
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
12/28/2004
4/13/2015
Inactive
Humana Insurance Company
301104
Agent - Health
7/24/2020
3/9/2021
Inactive
Humana Insurance Company
301104
Agent - Life
12/28/2004
4/13/2015
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
12/28/2004
4/13/2015
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
12/28/2004
4/13/2015
Inactive
Humana Medical Plan, Inc.
801568
Agent - Health
7/24/2020
3/9/2021
Inactive
Humana Wisconsin Health Organization Insurance Corporation
830687
Agent - Health
7/24/2020
3/9/2021
Inactive
Independent Order of Foresters
300743
Agent - Life
5/4/2015
11/26/2017
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Life
4/22/2004
9/16/2005
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
11/13/2003
6/7/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
11/13/2003
6/7/2008
Inactive
Kanawha Insurance Company
300127
Agent - Health
11/6/2009
4/13/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
11/6/2009
4/13/2015
Inactive
Liberty National Life Insurance Company
300827
Agent - Health
1/30/2009
12/28/2012
Inactive
Liberty National Life Insurance Company
300827
Agent - Life
1/30/2009
12/28/2012
Inactive
Lincoln Heritage Life Insurance Company
500016
Agent - Health
11/16/2010
4/9/2024
Inactive
Lincoln Heritage Life Insurance Company
500016
Agent - Life
11/16/2010
4/9/2024
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
9/19/2011
12/9/2013
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
9/19/2011
12/9/2013
Inactive
Lumico Life Insurance Company
300354
Agent - Health
6/29/2020
11/24/2020
Active
Madison National Life Insurance Company Inc.
301458
Agent - Health
12/21/2010
Inactive
Madison National Life Insurance Company Inc.
301458
Agent - Life
12/21/2010
7/8/2015
Inactive
National Guardian Life Insurance Company
300596
Agent - Health
11/3/2004
10/30/2006
Inactive
National Guardian Life Insurance Company
300596
Agent - Life
11/3/2004
10/30/2006
Inactive
North American Company for Life and Health Insurance
300291
Agent - Health
7/19/2011
3/24/2014
Active
North American Company for Life and Health Insurance
300291
Agent - Life
7/9/2015
Active
Pan-American Life Insurance Company
301530
Agent - Life
2/22/2024
Inactive
Reassure America Life Insurance Company
300678
Agent - Health
12/31/2003
1/7/2005
Inactive
Reassure America Life Insurance Company
300678
Agent - Life
12/31/2003
1/7/2005
Inactive
Shenandoah Life Insurance Company
300130
Agent - Health
3/7/2006
3/31/2009
Inactive
Shenandoah Life Insurance Company
300130
Agent - Life
3/7/2006
10/19/2007
Inactive
Southern Financial Life Insurance Company
300664
Agent - Life
2/9/2010
12/23/2011
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Health
2/28/2003
11/28/2006
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Life
2/28/2003
11/28/2006
Inactive
Union Bankers Insurance Company
301769
Agent - Health
8/1/2005
4/26/2007
Inactive
Union Bankers Insurance Company
301769
Agent - Life
8/1/2005
4/26/2007
Inactive
United American Insurance Company
300910
Agent - Health
12/6/2002
3/3/2021
Inactive
United American Insurance Company
300910
Agent - Life
12/6/2002
3/3/2021
Active
United Life Insurance Company
664766
Agent - Life
10/20/2023
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
7/20/2020
2/21/2022
Inactive
UnitedHealthcare Insurance Company of the River Valley
1027817
Agent - Health
7/20/2020
2/21/2022
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
7/20/2020
12/23/2021
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
7/20/2020
2/21/2022
Inactive
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
8/18/2020
12/28/2021
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
8/18/2020
12/29/2021
Inactive
West Coast Life Insurance Company
301607
Agent - Health
6/30/2009
11/16/2011
Inactive
West Coast Life Insurance Company
301607
Agent - Life
6/30/2009
11/16/2011
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
MHMC, Inc
574772
Agent - Life
1/19/2007
3/31/2021
Active
Narrow Gate Farm, LLC
638306
Agent - Health
8/16/2006
Active
Narrow Gate Farm, LLC
638306
Agent - Life
8/16/2006
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