DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Austin Blair	DOIID	810566	NAIC NPN	16965329

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	12/7/2016		7/31/2025
Active	Resident	Agent	Life	5/30/2013		7/31/2025
* 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
Active	Investors Heritage Life Insurance Company	300363	Agent - Life	6/21/2013
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	4/3/2017	4/18/2017
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	6/7/2017	11/30/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	R B Brown Insurance Agency Inc.	400773	Agent - Life	11/11/2022	1/22/2024
Denied	R B Brown Insurance Agency Inc.	400773	Agent - Health