DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Ebony Rena	DOIID	629279	NAIC NPN	8732162

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/3/2006	5/31/2012
Inactive	Non Resident	Agent	Property	4/3/2006	5/31/2012
Inactive	Non Resident	Agent	Life	11/11/2013	5/31/2024
Inactive	Non Resident	Agent	Health	11/11/2013	5/31/2024
* 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	ACE American Insurance Company	300625	Agent - Casualty	4/28/2006	10/21/2009
Inactive	ACE American Insurance Company	300625	Agent - Property	4/28/2006	10/21/2009
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	6/15/2021	5/31/2024
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/18/2021	5/31/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/15/2021	5/31/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/18/2021	5/31/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/18/2021	5/31/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/18/2013	7/15/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/18/2013	7/15/2022
Inactive	American General Life Insurance Company	301585	Agent - Health	9/20/2022	6/6/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	9/20/2022	6/6/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/15/2021	5/31/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/15/2021	5/31/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Health	3/8/2021	1/9/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	3/12/2020	2/8/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/18/2021	5/31/2024
Inactive	Tier One Insurance Company	301056	Agent - Health	2/23/2022	7/5/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sutherland Global Services Inc	601788	Agent - Life	11/4/2016	5/31/2024
Inactive	Sutherland Global Services Inc	601788	Agent - Health	11/4/2016	5/31/2024