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DEPARTMENT OF INSURANCE
Affiliations
Name
Clark, Brian
DOIID
810514
NAIC NPN
16218025
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
5/18/2013
11/30/2014
Inactive
Non Resident
Agent
Life
5/18/2013
11/30/2014
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American Financial Security Life Insurance Co.
301635
Agent - Health
1/15/2014
11/30/2014
Inactive
Freedom Life Insurance Company of America
300074
Agent - Health
5/28/2013
6/2/2014
Inactive
Freedom Life Insurance Company of America
300074
Agent - Life
5/28/2013
6/2/2014
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
3/5/2014
11/30/2014
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/5/2014
11/30/2014
Inactive
Humana Insurance Company
301104
Agent - Health
3/5/2014
11/30/2014
Inactive
Humana Insurance Company
301104
Agent - Life
3/5/2014
11/30/2014
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
3/5/2014
11/30/2014
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
3/5/2014
11/30/2014
Inactive
Kanawha Insurance Company
300127
Agent - Health
3/5/2014
11/30/2014
Inactive
Kanawha Insurance Company
300127
Agent - Life
3/5/2014
11/30/2014
Inactive
Time Insurance Company
300683
Agent - Health
1/27/2014
10/21/2014
Inactive
Time Insurance Company
300683
Agent - Life
1/27/2014
10/21/2014
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Guidepointe Solutions LLC
787479
Agent - Health
7/5/2013
2/27/2014
Inactive
Guidepointe Solutions LLC
787479
Agent - Life
7/5/2013
2/27/2014
Inactive
Homeland Healthcare, LLC
736705
Agent - Health
7/5/2013
2/27/2014
Inactive
Homeland Healthcare, LLC
736705
Agent - Life
7/5/2013
2/27/2014
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