DEPARTMENT OF INSURANCE
Affiliations
NameClark, Tammy SmithDOIID584599NAIC NPN7999227
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife2/8/2021 11/30/2024
ActiveResidentAgentHealth2/8/2021 11/30/2024
ActiveResidentAgentVariable Life and Variable Annuities2/8/2021 11/30/2024
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202411/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health11/8/20065/28/2008
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life11/8/20065/28/2008
InactiveAmerican General Life Insurance Company301585Agent - Health12/12/201911/30/2020
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/201211/30/2020
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities12/31/201211/30/2020
InactiveAnnuity Investors Life Insurance Company300715Agent - Health11/4/200511/30/2010
InactiveAnnuity Investors Life Insurance Company300715Agent - Life2/18/201512/1/2016
InactiveAnnuity Investors Life Insurance Company300715Agent - Variable Life and Variable Annuities11/12/201211/10/2014
InactiveBankers Life and Casualty Company300701Agent - Health3/3/20045/5/2004
InactiveBankers Life and Casualty Company300701Agent - Life3/3/20045/5/2004
InactiveBanner Life Insurance Company301696Agent - Life4/16/20128/28/2015
InactiveBrighthouse Life Insurance Company301829Agent - Life11/14/201411/30/2020
InactiveColonial Life and Accident Insurance Company300846Agent - Health3/29/20054/8/2008
InactiveColonial Life and Accident Insurance Company300846Agent - Life3/29/20054/8/2008
InactiveEquitable Financial Life Insurance Company300808Agent - Health8/20/200410/7/2005
InactiveEquitable Financial Life Insurance Company300808Agent - Life3/26/20154/26/2016
ActiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities9/5/2023 
ActiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities9/5/2023 
InactiveFirst Colony Life Insurance Company301179Agent - Health8/5/20061/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life8/5/20061/1/2007
InactiveGenworth Life Insurance Company300623Agent - Health12/30/200412/4/2007
InactiveGenworth Life Insurance Company300623Agent - Life12/30/200412/4/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/1/200710/4/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200710/4/2009
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health2/7/20077/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life2/7/20077/2/2007
InactiveJohn Hancock Life Insurance Company300821Agent - Health1/5/20056/7/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Life1/5/20056/7/2008
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life1/5/200512/11/2006
InactiveLincoln National Life Insurance Company (The)301382Agent - Health6/29/200711/30/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Life6/29/200711/30/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities6/29/200711/30/2010
InactiveLoyal American Life Insurance Company301172Agent - Health7/29/200511/21/2007
InactiveLoyal American Life Insurance Company301172Agent - Life7/29/200511/21/2007
InactiveMassMutual Ascend Life Insurance Company300320Agent - Health10/4/20056/9/2009
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life3/24/201112/6/2011
InactiveMetLife Investors USA Insurance Company300845Agent - Life6/26/201211/14/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health5/23/20065/14/2008
InactiveMetropolitan Life Insurance Company301948Agent - Life5/23/20065/14/2008
InactiveMutual of Omaha Insurance Company301012Agent - Health3/27/20198/1/2020
ActiveNationwide Life Insurance Company300495Agent - Health11/21/2022 
ActiveNationwide Life Insurance Company300495Agent - Life11/21/2022 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities11/21/2022 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health11/21/2022 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life11/21/2022 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities11/21/2022 
ActiveNorth American Company for Life and Health Insurance300291Agent - Life10/25/2022 
InactivePacific Life Insurance Company301848Agent - Health2/7/202011/30/2020
InactivePacific Life Insurance Company301848Agent - Life2/7/202011/30/2020
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities2/7/202011/30/2020
InactivePenn Insurance and Annuity Company300712Agent - Life12/3/201611/30/2020
InactivePenn Mutual Life Insurance Company301394Agent - Life12/3/201611/30/2020
InactivePhysicians Life Insurance Company300924Agent - Health11/2/20043/7/2006
InactivePhysicians Life Insurance Company300924Agent - Life11/2/20043/7/2006
InactivePhysicians Mutual Insurance Company301084Agent - Health11/2/20043/7/2006
ActiveProtective Life Insurance Company300638Agent - Health11/23/2022 
ActiveProtective Life Insurance Company300638Agent - Life11/23/2022 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities11/23/2022 
InactivePruco Life Insurance Company300954Agent - Life2/28/201212/23/2014
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities2/28/201212/23/2014
InactivePrudential Insurance Company of America300784Agent - Health2/28/200511/30/2010
InactivePrudential Insurance Company of America300784Agent - Life2/28/200511/30/2010
InactiveReliaStar Life Insurance Company301712Agent - Health1/26/20124/18/2012
InactiveReliaStar Life Insurance Company301712Agent - Life1/26/20124/18/2012
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities1/26/20124/18/2012
InactiveSecurity Benefit Life Insurance Company300583Agent - Health3/21/201111/30/2020
InactiveSecurity Benefit Life Insurance Company300583Agent - Life3/21/201111/30/2020
InactiveSecurity Benefit Life Insurance Company300583Agent - Variable Life and Variable Annuities3/21/201111/30/2020
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life3/22/201112/31/2012
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities3/22/201112/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Life12/31/201212/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Variable Life and Variable Annuities12/31/201212/31/2012
InactiveTransamerica Life Insurance Company300571Agent - Health12/22/200511/30/2010
ActiveTransamerica Life Insurance Company300571Agent - Life5/7/2024 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities5/7/2024 
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health10/25/200510/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life10/25/200510/1/2008
InactiveUnited of Omaha Life Insurance Company300156Agent - Health1/6/201711/22/2017
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/6/201711/22/2017
InactiveVariable Annuity Life Insurance Company301341Agent - Life10/29/200710/21/2010
InactiveVariable Annuity Life Insurance Company301341Agent - Variable Life and Variable Annuities10/29/200710/21/2010
InactiveWestern National Life Insurance Company300461Agent - Life6/8/200711/30/2010
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Health3/16/20111/30/2013
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life3/16/20111/30/2013
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Variable Life and Variable Annuities3/16/20111/30/2013
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Insurance Agency, Inc.399969Agent - Life4/2/200811/30/2010
InactiveAmerican General Insurance Agency, Inc.399969Agent - Variable Life and Variable Annuities4/2/200811/30/2010
InactiveMedlink Inc400721Agent - Health1/20/200511/30/2010
InactiveMedlink Inc400721Agent - Life1/20/200511/30/2010

© Commonwealth of Kentucky. All rights reserved.