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DEPARTMENT OF INSURANCE
Affiliations
Name
Clark Jr, Michael Arthur
DOIID
718158
NAIC NPN
5758242
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Property
11/16/2009
2/16/2012
Inactive
Non Resident
Agent
Health
11/16/2009
2/16/2012
Inactive
Non Resident
Agent
Casualty
11/16/2009
2/16/2012
Inactive
Non Resident
Agent
Life
11/16/2009
2/16/2012
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Balboa Life Insurance Company
301327
Agent - Health
11/30/2009
2/16/2012
Inactive
Balboa Life Insurance Company
301327
Agent - Life
11/30/2009
2/16/2012
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
4/20/2010
11/4/2010
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
1/27/2010
2/16/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
2/2/2010
2/16/2012
Inactive
Tesla Insurance Company
300337
Agent - Casualty
11/30/2009
2/16/2012
Inactive
Tesla Insurance Company
300337
Agent - Property
11/30/2009
2/16/2012
Inactive
Tesla Property & Casualty, Inc.
301611
Agent - Casualty
11/30/2009
2/16/2012
Inactive
Tesla Property & Casualty, Inc.
301611
Agent - Property
11/30/2009
2/16/2012
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Balboa Insurance Services Inc.
516610
Agent - Health
6/15/2011
12/22/2011
Inactive
Balboa Insurance Services Inc.
516610
Agent - Life
6/15/2011
12/22/2011
Inactive
Balboa Insurance Services Inc.
516610
Agent - Property
6/15/2011
12/22/2011
Inactive
Balboa Insurance Services Inc.
516610
Agent - Casualty
6/15/2011
12/22/2011
Inactive
Banc of America Insurance Services, Inc.
400875
Agent - Health
1/27/2010
1/26/2012
Inactive
Banc of America Insurance Services, Inc.
400875
Agent - Life
1/27/2010
1/26/2012
Inactive
Banc of America Insurance Services, Inc.
400875
Agent - Property
1/27/2010
1/26/2012
Inactive
Banc of America Insurance Services, Inc.
400875
Agent - Casualty
1/27/2010
1/26/2012
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