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DEPARTMENT OF INSURANCE
Affiliations
Name
Clark Jr, George M
DOIID
954675
NAIC NPN
6649103
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
5/17/2017
9/30/2020
Inactive
Non Resident
Agent
Health
5/17/2017
9/30/2020
* 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
Aetna Health Inc. (PA)
660717
Agent - Health
8/27/2018
9/30/2020
Inactive
Aetna Life Insurance Company
301140
Agent - Health
8/27/2018
9/30/2020
Inactive
Aetna Life Insurance Company
301140
Agent - Life
8/27/2018
9/30/2020
Inactive
American General Life Insurance Company
301585
Agent - Health
3/2/2018
9/30/2020
Inactive
American General Life Insurance Company
301585
Agent - Life
3/2/2018
9/30/2020
Inactive
Colorado Bankers Life Insurance Company
301845
Agent - Health
8/9/2017
7/18/2019
Inactive
Colorado Bankers Life Insurance Company
301845
Agent - Life
8/9/2017
7/18/2019
Inactive
Federal Insurance Company
301144
Agent - Health
7/10/2017
9/30/2020
Inactive
First Health Life & Health Insurance Company
301735
Agent - Health
8/27/2018
9/30/2020
Inactive
Golden Rule Insurance Company
301943
Agent - Health
5/22/2017
10/6/2020
Inactive
Golden Rule Insurance Company
301943
Agent - Life
5/22/2017
10/6/2020
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Health
8/14/2017
12/6/2018
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Life
8/14/2017
12/6/2018
Inactive
SilverScript Insurance Company
663526
Agent - Health
8/23/2019
9/30/2020
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 - Life
4/13/2018
9/30/2020
Inactive
Health Plan Intermediaries Holdings
786463
Agent - Health
4/13/2018
9/30/2020
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