DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Mary Jane	DOIID	575037	NAIC NPN	7722317

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/25/2003	1/31/2017
Inactive	Non Resident	Agent	Life	8/25/2003	1/31/2017
* 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
Inactive	American General Life Insurance Company	301585	Agent - Health	12/20/2015	8/30/2016
Inactive	American General Life Insurance Company	301585	Agent - Life	12/20/2015	8/30/2016
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	9/18/2007	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	9/18/2007	12/31/2012
Inactive	Continental Casualty Company	301019	Agent - Health	10/2/2003	12/28/2004
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	10/13/2003	11/16/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	10/13/2003	11/16/2011
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	3/3/2009	12/29/2016
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	3/3/2009	12/29/2016
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	9/27/2005	1/31/2017
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	10/13/2003	7/14/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	10/13/2003	7/14/2009
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	12/23/2015	8/30/2016
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	12/23/2015	8/30/2016
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	10/2/2003	9/19/2005
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	10/2/2003	9/19/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	2/27/2004	8/1/2016
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	2/27/2004	8/1/2016