DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Josephine Sante	DOIID	869150	NAIC NPN	12670076

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	2/15/2015	8/31/2025
Active	Non Resident	Agent	Health	2/15/2015	8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Athene Annuity and Life Company	301893	Agent - Life	5/18/2021
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/2/2024
Active	Forethought Life Insurance Company	301407	Agent - Health	9/27/2022
Active	Forethought Life Insurance Company	301407	Agent - Life	9/27/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Health	3/4/2019	1/11/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Life	3/4/2019	1/11/2023
Active	IA American Life Insurance Company	301149	Agent - Life	5/7/2021
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	10/9/2020	12/29/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	10/9/2020	12/29/2020
Active	Nationwide Life Insurance Company	300495	Agent - Health	4/11/2022
Active	Nationwide Life Insurance Company	300495	Agent - Life	4/11/2022
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	2/23/2015
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	2/23/2015
Active	Pacific Life Insurance Company	301848	Agent - Health	12/8/2023
Active	Pacific Life Insurance Company	301848	Agent - Life	12/8/2023
Active	Protective Life Insurance Company	300638	Agent - Health	12/23/2024
Active	Protective Life Insurance Company	300638	Agent - Life	12/23/2024
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/25/2022	12/23/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	8/3/2017
Active	Transamerica Life Insurance Company	300571	Agent - Life	8/3/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/3/2017	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/3/2017	10/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Life	2/24/2015
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Health	2/24/2015