DEPARTMENT OF INSURANCE
Affiliations
NameClark, Robert MichaelDOIID564498NAIC NPN7408680
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentVariable Life and Variable Annuities2/14/20039/28/2006 
InactiveNon ResidentAgentLife2/14/20039/28/2006 
InactiveNon ResidentAgentHealth2/14/20039/28/2006 
* 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
InactiveAmerican General Life Insurance Company301585Agent - Health7/30/20033/17/2004
InactiveAmerican General Life Insurance Company301585Agent - Life7/30/20033/17/2004
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities7/30/20033/17/2004
InactiveC.M. Life Insurance Company301335Agent - Health5/31/20032/3/2004
InactiveC.M. Life Insurance Company301335Agent - Life5/31/20032/3/2004
InactiveC.M. Life Insurance Company301335Agent - Variable Life and Variable Annuities5/31/20032/3/2004
InactiveDelaware Life Insurance Company301256Agent - Life3/5/20039/28/2006
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities3/5/20039/28/2006
InactiveEquitable Financial Life Insurance Company300808Agent - Life10/8/20049/28/2006
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities10/8/20049/28/2006
InactiveEverlake Life Insurance Company300873Agent - Life2/11/20049/28/2006
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities2/11/20049/28/2006
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health6/9/20035/31/2004
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life6/9/20035/31/2004
InactiveGenworth Life Insurance Company300623Agent - Health3/15/20039/28/2006
InactiveGenworth Life Insurance Company300623Agent - Life3/15/20039/28/2006
InactiveGlenbrook Life and Annuity Company301384Agent - Life2/11/20041/1/2005
InactiveGlenbrook Life and Annuity Company301384Agent - Variable Life and Variable Annuities2/11/20041/1/2005
InactiveJackson National Life Insurance Company300486Agent - Life4/27/20059/28/2006
InactiveJohn Hancock Life Insurance Company300821Agent - Health3/5/20039/28/2006
InactiveJohn Hancock Life Insurance Company300821Agent - Life4/25/20059/28/2006
InactiveJohn Hancock Life Insurance Company300821Agent - Variable Life and Variable Annuities4/25/20059/28/2006
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life5/21/20039/28/2006
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities5/21/20039/28/2006
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life4/25/20059/28/2006
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Variable Life and Variable Annuities4/25/20059/28/2006
InactiveLife Investors Insurance Company of America301793Agent - Life2/10/20049/28/2006
InactiveLincoln National Life Insurance Company (The)301382Agent - Health3/3/200312/17/2005
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/3/200312/17/2005
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities3/3/200312/17/2005
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health5/31/20032/3/2004
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life5/31/20032/3/2004
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities5/31/20032/3/2004
InactiveMetLife Investors Insurance Company301872Agent - Health5/12/20039/28/2006
InactiveMetLife Investors Insurance Company301872Agent - Life5/12/20031/22/2004
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities5/12/20031/22/2004
InactiveMetLife Investors USA Insurance Company300845Agent - Health11/5/20049/28/2006
InactiveMetLife Investors USA Insurance Company300845Agent - Life11/5/20049/28/2006
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities11/5/20049/28/2006
InactiveMetropolitan Life Insurance Company301948Agent - Health11/6/20039/28/2006
InactiveMetropolitan Life Insurance Company301948Agent - Life11/6/20039/28/2006
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities11/6/20039/28/2006
InactiveNationwide Life Insurance Company300495Agent - Life10/14/20049/28/2006
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities10/14/20049/28/2006
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life2/17/200410/13/2004
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities2/17/200410/13/2004
InactivePacific Life Insurance Company301848Agent - Life7/27/20059/28/2006
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities7/27/20059/28/2006
InactivePrincipal Life Insurance Company300129Agent - Health9/19/20039/28/2006
InactivePrincipal Life Insurance Company300129Agent - Life9/19/20039/28/2006
InactivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities9/19/20039/28/2006
InactiveProtective Life Insurance Company300638Agent - Health5/21/20039/28/2006
InactiveProtective Life Insurance Company300638Agent - Life5/21/20039/28/2006
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities5/21/20039/28/2006
InactiveProvident Life and Accident Insurance Company301525Agent - Health3/28/200311/10/2004
InactiveProvident Life and Accident Insurance Company301525Agent - Life3/28/200311/10/2004
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life7/30/20039/28/2006
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities7/30/20039/28/2006
InactiveTalcott Resolution Life Insurance Company301759Agent - Health2/14/20039/28/2006
InactiveTalcott Resolution Life Insurance Company301759Agent - Life2/14/20039/28/2006
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities2/14/20039/28/2006
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health2/14/20039/28/2006
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life2/14/20039/28/2006
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities2/14/20039/28/2006
InactiveTransamerica Life Insurance Company300571Agent - Life2/10/20049/28/2006
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities2/13/20049/28/2006
InactiveUNUM Life Insurance Company of America300817Agent - Health3/28/200311/10/2004
InactiveUNUM Life Insurance Company of America300817Agent - Life3/28/200311/10/2004
InactiveWestern National Life Insurance Company300461Agent - Life2/10/20049/28/2006
InactiveWestern National Life Insurance Company300461Agent - Variable Life and Variable Annuities2/13/200410/11/2004
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveA. G. Edwards & Sons LLC399372Agent - Health3/3/20031/20/2004
InactiveA. G. Edwards & Sons LLC399372Agent - Life3/3/20031/20/2004
InactiveA. G. Edwards & Sons LLC399372Agent - Variable Life and Variable Annuities3/3/20031/20/2004

© Commonwealth of Kentucky. All rights reserved.