DEPARTMENT OF INSURANCE
Affiliations
NameClark, Jeffery ADOIID569533NAIC NPN6776268
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife3/18/20088/23/2013 
InactiveNon ResidentAgentHealth3/18/20088/23/2013 
InactiveNon ResidentAgentVariable Life and Variable Annuities3/18/20088/23/2013 
* 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
InactiveCompBenefits Dental, Inc.591692Agent - Health10/23/20125/17/2013
InactiveDental Concern Inc. (The)301641Agent - Health10/23/20125/17/2013
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/23/20125/17/2013
InactiveHumana Health Plan, Inc.300142Agent - Health10/23/20125/17/2013
InactiveHumana Insurance Company301104Agent - Health10/18/20125/17/2013
InactiveHumana Insurance Company301104Agent - Life10/18/20125/17/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/23/20125/17/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/23/20125/17/2013
InactiveKanawha Insurance Company300127Agent - Health12/18/20125/17/2013
InactiveKanawha Insurance Company300127Agent - Life12/18/20125/17/2013
InactiveTIAA-CREF Life Insurance Company556577Agent - Health3/31/200811/14/2008
InactiveTIAA-CREF Life Insurance Company556577Agent - Life3/31/200811/14/2008
InactiveTIAA-CREF Life Insurance Company556577Agent - Variable Life and Variable Annuities3/31/200811/14/2008
InactiveTeachers Insurance and Annuity Association of America301596Agent - Health3/31/20083/25/2011
InactiveTeachers Insurance and Annuity Association of America301596Agent - Life3/31/20083/25/2011
InactiveTeachers Insurance and Annuity Association of America301596Agent - Variable Life and Variable Annuities3/31/20083/25/2011
InactiveUSAA Life Insurance Company300734Agent - Health6/13/20118/22/2012
InactiveUSAA Life Insurance Company300734Agent - Life6/13/20118/22/2012
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUSAA Financial Planning Services Ins Agency Inc579485Agent - Health6/15/20118/22/2012
InactiveUSAA Financial Planning Services Ins Agency Inc579485Agent - Life6/15/20118/22/2012

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