DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Anita Lee	DOIID	681552	NAIC NPN	10861140

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	6/18/2008	4/1/2010
Inactive	Resident	Agent	Life	6/18/2008	4/1/2010
* 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	American General Life Insurance Company	301585	Agent - Health	8/2/2008	4/1/2010
Inactive	American General Life Insurance Company	301585	Agent - Life	8/2/2008	4/1/2010
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	6/26/2008	3/23/2009
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	6/26/2008	3/23/2009
Inactive	Augustar Life Insurance Company	301816	Agent - Health	6/26/2008	3/23/2009
Inactive	Augustar Life Insurance Company	301816	Agent - Life	6/26/2008	3/23/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/24/2008	4/1/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/24/2008	4/1/2010
Inactive	Standard Insurance Company	300185	Agent - Health	9/9/2008	4/1/2010
Inactive	Standard Insurance Company	300185	Agent - Life	9/9/2008	4/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Risk Solutions LLC	675540	Agent - Life	7/9/2008	4/1/2010
Inactive	Risk Solutions LLC	675540	Agent - Health	7/9/2008	4/1/2010