DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Lea Ann	DOIID	640200	NAIC NPN	8913947

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	11/14/2006	9/1/2010
Inactive	Resident	Agent	Life	11/14/2006	9/1/2010
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/19/2007	12/11/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/19/2007	12/11/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Health	3/19/2007	12/11/2009
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Life	3/19/2007	12/11/2009