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DEPARTMENT OF INSURANCE
Affiliations
Name
Clark/Bardes Securities, Inc.
DOIID
502157
NAIC NPN
1335828
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
12/31/1999
9/16/2002
Inactive
Non Resident
Agent
Life
12/31/1999
9/16/2002
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
5/31/2001
9/16/2002
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
4/23/2001
9/16/2002
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
4/23/2001
9/16/2002
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Life
5/4/2001
9/16/2002
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Variable Life and Variable Annuities
5/4/2001
9/16/2002
Inactive
C.M. Life Insurance Company
301335
Agent - Health
6/22/2001
9/16/2002
Inactive
C.M. Life Insurance Company
301335
Agent - Life
6/22/2001
9/16/2002
Inactive
C.M. Life Insurance Company
301335
Agent - Variable Life and Variable Annuities
6/22/2001
9/16/2002
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Health
5/14/2001
9/16/2002
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Life
5/14/2001
9/16/2002
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Variable Life and Variable Annuities
5/14/2001
9/16/2002
Inactive
Connecticut General Life Insurance Company
301333
Agent - Health
5/15/2001
9/16/2002
Inactive
Connecticut General Life Insurance Company
301333
Agent - Life
5/15/2001
9/16/2002
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Health
2/29/2000
9/16/2002
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Life
2/29/2000
9/16/2002
Inactive
Everlake Life Insurance Company
300873
Agent - Life
8/1/2002
9/16/2002
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
8/1/2002
9/16/2002
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
4/20/2000
9/16/2002
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
3/31/2001
9/16/2002
Inactive
General American Life Insurance Company
300280
Agent - Health
2/11/2000
9/16/2002
Inactive
General American Life Insurance Company
300280
Agent - Life
2/11/2000
9/16/2002
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
1/22/2001
9/16/2002
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
4/9/2001
9/16/2002
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
7/3/2000
9/16/2002
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
7/3/2000
9/16/2002
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
3/29/2001
9/16/2002
Inactive
MML Bay State Life Insurance Company
301198
Agent - Health
6/22/2001
9/16/2002
Inactive
MML Bay State Life Insurance Company
301198
Agent - Life
6/22/2001
9/16/2002
Inactive
MML Bay State Life Insurance Company
301198
Agent - Variable Life and Variable Annuities
6/22/2001
9/16/2002
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
6/22/2001
9/16/2002
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
6/22/2001
9/16/2002
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Variable Life and Variable Annuities
6/22/2001
9/16/2002
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
3/7/2000
9/16/2002
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
3/7/2000
9/16/2002
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
12/31/1999
9/16/2002
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
12/31/1999
9/16/2002
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
4/18/2001
9/16/2002
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
4/18/2001
9/16/2002
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
5/14/2001
9/16/2002
Inactive
Prudential Insurance Company of America
300784
Agent - Health
2/10/2000
9/16/2002
Inactive
Prudential Insurance Company of America
300784
Agent - Life
2/10/2000
9/16/2002
Inactive
Security Life of Denver Insurance Company
300648
Agent - Variable Life and Variable Annuities
4/9/2001
9/16/2002
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
4/21/2000
9/16/2002
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
4/21/2000
9/16/2002
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
3/12/2001
12/17/2001
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Health
11/13/2001
7/15/2002
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Life
11/13/2001
7/15/2002
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Variable Life and Variable Annuities
11/13/2001
7/15/2002
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Parker, Christopher Lee
524223
Agent - Health
5/4/2001
9/16/2002
Inactive
Parker, Christopher Lee
524223
Agent - Life
5/4/2001
9/16/2002
Inactive
Parker, Christopher Lee
524223
Agent - Variable Life and Variable Annuities
5/4/2001
9/16/2002
Inactive
Roth, Ronald Andrew
310252
Agent - Health
12/31/1999
1/25/2001
Inactive
Roth, Ronald Andrew
310252
Agent - Life
12/31/1999
1/25/2001
Inactive
Wamberg, Warren T
348349
Agent - Health
1/25/2001
9/16/2002
Inactive
Wamberg, Warren T
348349
Agent - Life
1/25/2001
9/16/2002
Inactive
Wamberg, Warren T
348349
Agent - Variable Life and Variable Annuities
3/12/2001
9/16/2002
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