DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Susan Jennifer	DOIID	582521	NAIC NPN	7940276

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/24/2003	8/31/2006
Inactive	Non Resident	Agent	Life	12/24/2003	8/31/2006
* 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	3/11/2004	4/10/2006
Inactive	American General Life Insurance Company	301585	Agent - Life	3/11/2004	4/10/2006
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	3/27/2006	8/31/2006
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	3/27/2006	8/31/2006
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/18/2004	3/2/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Health	2/19/2004	3/2/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	2/19/2004	3/2/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Health	4/6/2004	3/2/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	4/6/2004	3/2/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	2/24/2004	7/8/2005
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	2/24/2004	7/8/2005
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Health	2/19/2004	10/15/2004
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	2/19/2004	10/15/2004
Inactive	Protective Life Insurance Company	300638	Agent - Health	2/18/2004	10/11/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	2/18/2004	10/11/2004
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/27/2004	10/12/2004
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/27/2004	10/12/2004
Inactive		300277	Agent - Life	7/12/2004	11/16/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	SelectQuote Insurance Services	533194	Agent - Life	3/8/2004	9/28/2004