DEPARTMENT OF INSURANCE
Affiliations
NameClark Jr, Michael ArthurDOIID718158NAIC NPN5758242
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentProperty11/16/20092/16/2012 
InactiveNon ResidentAgentHealth11/16/20092/16/2012 
InactiveNon ResidentAgentCasualty11/16/20092/16/2012 
InactiveNon ResidentAgentLife11/16/20092/16/2012 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBalboa Life Insurance Company301327Agent - Health11/30/20092/16/2012
InactiveBalboa Life Insurance Company301327Agent - Life11/30/20092/16/2012
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life4/20/201011/4/2010
InactiveReliaStar Life Insurance Company301712Agent - Life1/27/20102/16/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Life2/2/20102/16/2012
InactiveTesla Insurance Company300337Agent - Casualty11/30/20092/16/2012
InactiveTesla Insurance Company300337Agent - Property11/30/20092/16/2012
InactiveTesla Property & Casualty, Inc.301611Agent - Casualty11/30/20092/16/2012
InactiveTesla Property & Casualty, Inc.301611Agent - Property11/30/20092/16/2012
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBalboa Insurance Services Inc.516610Agent - Health6/15/201112/22/2011
InactiveBalboa Insurance Services Inc.516610Agent - Life6/15/201112/22/2011
InactiveBalboa Insurance Services Inc.516610Agent - Property6/15/201112/22/2011
InactiveBalboa Insurance Services Inc.516610Agent - Casualty6/15/201112/22/2011
InactiveBanc of America Insurance Services, Inc.400875Agent - Health1/27/20101/26/2012
InactiveBanc of America Insurance Services, Inc.400875Agent - Life1/27/20101/26/2012
InactiveBanc of America Insurance Services, Inc.400875Agent - Property1/27/20101/26/2012
InactiveBanc of America Insurance Services, Inc.400875Agent - Casualty1/27/20101/26/2012

© Commonwealth of Kentucky. All rights reserved.