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DEPARTMENT OF INSURANCE
Affiliations
Name
Clark, Andrew
DOIID
924307
NAIC NPN
17984367
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
8/12/2016
2/29/2020
Inactive
Non Resident
Agent
Life
8/12/2016
2/29/2020
* 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
ACE American Insurance Company
300625
Agent - Health
11/14/2016
8/12/2019
Inactive
AXIS Insurance Company
301290
Agent - Health
12/27/2016
10/10/2019
Inactive
American Financial Security Life Insurance Co.
301635
Agent - Health
5/31/2019
2/29/2020
Inactive
Federal Insurance Company
301144
Agent - Health
11/14/2016
8/12/2019
Inactive
Freedom Life Insurance Company of America
300074
Agent - Health
8/23/2016
7/12/2017
Inactive
Freedom Life Insurance Company of America
300074
Agent - Life
8/23/2016
7/12/2017
Inactive
Southern Guaranty Insurance Company
969411
Agent - Health
7/13/2018
1/18/2019
Inactive
Unified Life Insurance Company
543169
Agent - Health
5/15/2019
2/29/2020
Inactive
United States Fire Insurance Company
582240
Agent - Health
11/15/2017
2/29/2020
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Health Plan Intermediaries Holdings
786463
Agent - Health
4/16/2019
2/29/2020
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