DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Menker, Clarence James	DOIID	940055	NAIC NPN	17679773

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/16/2016	12/31/2022
Inactive	Non Resident	Agent	Health	12/16/2016	12/31/2022
* 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	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/7/2018	1/29/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/7/2018	1/29/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	12/27/2016	12/31/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	12/27/2016	12/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	1/3/2017	12/31/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Health	1/3/2017	12/31/2022