DEPARTMENT OF INSURANCE

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