DEPARTMENT OF INSURANCE
Affiliations
NameClark, Brian DOIID810514NAIC NPN16218025
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth5/18/201311/30/2014 
InactiveNon ResidentAgentLife5/18/201311/30/2014 
* 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
InactiveAmerican Financial Security Life Insurance Co.301635Agent - Health1/15/201411/30/2014
InactiveFreedom Life Insurance Company of America300074Agent - Health5/28/20136/2/2014
InactiveFreedom Life Insurance Company of America300074Agent - Life5/28/20136/2/2014
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health3/5/201411/30/2014
InactiveHumana Health Plan, Inc.300142Agent - Health3/5/201411/30/2014
InactiveHumana Insurance Company301104Agent - Health3/5/201411/30/2014
InactiveHumana Insurance Company301104Agent - Life3/5/201411/30/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/5/201411/30/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life3/5/201411/30/2014
InactiveKanawha Insurance Company300127Agent - Health3/5/201411/30/2014
InactiveKanawha Insurance Company300127Agent - Life3/5/201411/30/2014
InactiveTime Insurance Company300683Agent - Health1/27/201410/21/2014
InactiveTime Insurance Company300683Agent - Life1/27/201410/21/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGuidepointe Solutions LLC787479Agent - Health7/5/20132/27/2014
InactiveGuidepointe Solutions LLC787479Agent - Life7/5/20132/27/2014
InactiveHomeland Healthcare, LLC736705Agent - Health7/5/20132/27/2014
InactiveHomeland Healthcare, LLC736705Agent - Life7/5/20132/27/2014

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