DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Christina D	DOIID	704622	NAIC NPN	13773911

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/14/2009	1/31/2012
Inactive	Resident	Agent	Health	7/14/2009	1/31/2012
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	11/20/2009	1/31/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/20/2009	12/12/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/20/2009	12/12/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/20/2009	1/31/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/20/2009	1/31/2012
Inactive	Humana Insurance Company	301104	Agent - Health	11/20/2009	1/31/2012
Inactive	Humana Insurance Company	301104	Agent - Life	11/20/2009	1/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/14/2009	1/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/14/2009	1/31/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/7/2010	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/7/2010	2/24/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/20/2009	1/31/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/20/2009	1/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Al Torstrick Insurance Agency, LLC	400026	Agent - Health	10/19/2009	1/28/2011
Inactive	Al Torstrick Insurance Agency, LLC	400026	Agent - Life	10/19/2009	1/28/2011