DEPARTMENT OF INSURANCE

Name	Myers, Clarence I	DOIID	346154	NAIC NPN	816506

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	2/14/2012	1/31/2020
Inactive	Non Resident	Agent	Life	2/14/2012	1/31/2020
Inactive	Resident	Agent	Health Maintenance Organization	7/27/1995	12/1/2000
Denied	Non Resident	Managing General Agent	Not Applicable

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	10263 Cloverbank Dr Fishers, IN 460406005
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(317) 902-2806