DEPARTMENT OF INSURANCE

Name	Clark, Mark William	DOIID	595480	NAIC NPN	5322635

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Health	9/14/2004	12/31/2023
Inactive	Non Resident	Agent	Life	9/14/2004	12/31/2023

*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	Humana-Dms 8119 Datapoint DrSan Antonio, TX 782293227
Residence	Not Public Information

Internet Information

Type	Address
Business Email	MCLARK@HUMANA.COM

Phone Information

Type	Phone
Business / Home Office	(866) 836-6162