DEPARTMENT OF INSURANCE
Affiliations
NameS B Clark And Assoc IncDOIID661503NAIC NPN3243991
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedNon ResidentAgentVariable Life and Variable Annuities   
InactiveNon ResidentAgentHealth10/1/20073/31/2017 
InactiveNon ResidentAgentLife10/1/20073/31/2017 
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican National Insurance Company301861Agent - Health3/1/20134/25/2013
InactiveAmerican National Insurance Company301861Agent - Life3/1/20134/25/2013
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health2/14/200811/3/2016
InactiveAnthem Insurance Companies, Inc.300941Agent - Health2/14/200810/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health2/14/200811/2/2016
InactiveAnthem Life Insurance Company301209Agent - Life2/14/200811/2/2016
InactiveBanner Life Insurance Company301696Agent - Life8/18/20083/31/2017
InactiveCincinnati Life Insurance Company (The)300601Agent - Health1/6/20147/2/2015
InactiveCincinnati Life Insurance Company (The)300601Agent - Life1/6/20147/2/2015
InactiveCompBenefits Dental, Inc.591692Agent - Health4/9/20096/5/2009
InactiveCompBenefits Insurance Company301864Agent - Health4/9/20096/5/2009
InactiveCompBenefits Insurance Company301864Agent - Life4/9/20096/5/2009
InactiveDelaware Life Insurance Company301256Agent - Life9/5/20143/31/2017
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20096/5/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health3/3/200810/4/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life3/3/200810/4/2012
InactiveHumana Health Plan, Inc.300142Agent - Health11/20/20076/5/2009
InactiveHumana Insurance Company301104Agent - Health11/20/20076/5/2009
InactiveHumana Insurance Company301104Agent - Life11/20/20076/5/2009
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/20/20076/5/2009
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/20/20076/5/2009
InactiveHumanaDental Insurance Company301457Agent - Health11/20/20076/5/2009
InactiveHumanaDental Insurance Company301457Agent - Life11/20/20076/5/2009
InactiveKanawha Insurance Company300127Agent - Health4/3/20086/5/2009
InactiveKanawha Insurance Company300127Agent - Life4/3/20086/5/2009
InactiveReliance Standard Life Insurance Company300584Agent - Health11/1/20123/31/2017
InactiveReliance Standard Life Insurance Company300584Agent - Life11/1/20123/31/2017
InactiveStandard Insurance Company300185Agent - Health1/15/20083/31/2017
InactiveStandard Insurance Company300185Agent - Life1/15/20083/31/2017
InactiveState Life Insurance Company301497Agent - Health5/7/201311/24/2016
InactiveState Life Insurance Company301497Agent - Life5/7/201311/24/2016
InactiveSymetra Life Insurance Company301691Agent - Health9/4/200812/29/2010
InactiveSymetra Life Insurance Company301691Agent - Life9/4/200812/29/2010
InactiveTime Insurance Company300683Agent - Health1/30/200912/14/2010
InactiveTime Insurance Company300683Agent - Life1/30/200912/14/2010
InactiveTransamerica Life Insurance Company300571Agent - Life10/30/20088/12/2011
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/25/200911/30/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life2/25/200911/30/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/25/200911/30/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health2/25/200911/30/2016
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBurrell, Charlene Marie 687432Agent - Health9/4/20086/30/2010
InactiveBurrell, Charlene Marie 687432Agent - Life9/4/20086/30/2010
InactiveCharlton, Jamie Michael 504864Agent - Health4/29/20093/31/2017
InactiveCharlton, Jamie Michael 504864Agent - Life4/29/20093/31/2017
InactiveClark, Steven B 367187Agent - Health10/1/20071/23/2009
InactiveClark, Steven B 367187Agent - Life10/1/20071/23/2009
InactiveHagerty, Kevin Gerald 350634Agent - Health8/14/20143/31/2017
InactiveHagerty, Kevin Gerald 350634Agent - Life8/14/20143/31/2017
InactiveLitmer, Kelly Elizabeth 567356Agent - Health2/14/20088/14/2014
InactiveLitmer, Kelly Elizabeth 567356Agent - Life2/14/20088/14/2014
InactiveRutledge, Garry W 393269Agent - Health12/4/20083/31/2017
InactiveRutledge, Garry W 393269Agent - Life12/4/20083/31/2017
InactiveYoung, Kasey Marie 697629Agent - Health2/21/200911/30/2015

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