PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameClark, Charles RDOIID559327NAIC NPN7494330
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife11/14/2002 11/30/2025
ActiveResidentAgentHealth11/14/2002 11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202511/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health and Life Insurance Company300523Agent - Health8/31/2015 
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life4/17/201312/23/2013
ActiveAmerican National Insurance Company301861Agent - Life2/10/2021 
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health10/19/20071/9/2012
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life3/15/20216/7/2022
InactiveArcadian Health Plan, Inc.728196Agent - Health7/24/20203/9/2021
ActiveAthene Annuity and Life Company301893Agent - Life3/14/2025 
InactiveAtlantic Coast Life Insurance Company642114Agent - Health2/22/201912/31/2020
InactiveAtlantic Coast Life Insurance Company642114Agent - Life2/22/201912/31/2020
InactiveColorado Bankers Life Insurance Company301845Agent - Health5/15/20073/30/2011
InactiveColorado Bankers Life Insurance Company301845Agent - Life5/15/20073/30/2011
InactiveColumbian Life Insurance Company300810Agent - Health7/18/20057/1/2013
InactiveColumbian Life Insurance Company300810Agent - Life3/10/20158/23/2024
InactiveCompBenefits Dental, Inc.591692Agent - Health11/6/20094/13/2015
InactiveCompBenefits Insurance Company301864Agent - Health11/6/20097/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life11/6/20097/2/2013
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/24/20067/3/2008
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/24/20067/3/2008
InactiveCotton States Life Insurance Company300268Agent - Life8/26/20051/10/2006
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20094/13/2015
InactiveEquiTrust Life Insurance Company502870Agent - Life11/20/20153/9/2021
InactiveEverly Life Insurance Company561641Agent - Life3/21/201611/14/2018
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life5/8/2015 
ActiveForethought Life Insurance Company301407Agent - Health2/28/2019 
ActiveForethought Life Insurance Company301407Agent - Life2/28/2019 
InactiveGreat Southern Life Insurance Company301443Agent - Health3/15/20216/7/2022
InactiveGuarantee Reserve Life Insurance Company300608Agent - Health11/26/200212/31/2003
InactiveGuarantee Reserve Life Insurance Company300608Agent - Life11/26/200212/31/2003
ActiveHomesteaders Life Company300836Agent - Life8/1/2011 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health7/24/20203/9/2021
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health7/24/20203/9/2021
InactiveHumana Health Plan, Inc.300142Agent - Health12/28/20044/13/2015
InactiveHumana Insurance Company301104Agent - Health7/24/20203/9/2021
InactiveHumana Insurance Company301104Agent - Life12/28/20044/13/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Health12/28/20044/13/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life12/28/20044/13/2015
InactiveHumana Medical Plan, Inc.801568Agent - Health7/24/20203/9/2021
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health7/24/20203/9/2021
InactiveIndependent Order of Foresters300743Agent - Life5/4/201511/26/2017
InactiveInvestors Heritage Life Insurance Company300363Agent - Life4/22/20049/16/2005
InactiveJohn Hancock Life Insurance Company300821Agent - Health11/13/20036/7/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Life11/13/20036/7/2008
InactiveKanawha Insurance Company300127Agent - Health11/6/20094/13/2015
InactiveKanawha Insurance Company300127Agent - Life11/6/20094/13/2015
InactiveLiberty National Life Insurance Company300827Agent - Health1/30/200912/28/2012
InactiveLiberty National Life Insurance Company300827Agent - Life1/30/200912/28/2012
InactiveLincoln Heritage Life Insurance Company500016Agent - Health11/16/20104/9/2024
InactiveLincoln Heritage Life Insurance Company500016Agent - Life11/16/20104/9/2024
InactiveLincoln National Life Insurance Company (The)301382Agent - Health9/19/201112/9/2013
InactiveLincoln National Life Insurance Company (The)301382Agent - Life9/19/201112/9/2013
InactiveLumico Life Insurance Company300354Agent - Health6/29/202011/24/2020
ActiveMadison National Life Insurance Company Inc.301458Agent - Health12/21/2010 
InactiveMadison National Life Insurance Company Inc.301458Agent - Life12/21/20107/8/2015
InactiveNational Guardian Life Insurance Company300596Agent - Health11/3/200410/30/2006
InactiveNational Guardian Life Insurance Company300596Agent - Life11/3/200410/30/2006
InactiveNorth American Company for Life and Health Insurance300291Agent - Health7/19/20113/24/2014
ActiveNorth American Company for Life and Health Insurance300291Agent - Life7/9/2015 
ActivePacific Life Insurance Company301848Agent - Health9/17/2024 
ActivePacific Life Insurance Company301848Agent - Life9/17/2024 
ActivePan-American Life Insurance Company301530Agent - Life2/22/2024 
InactiveReassure America Life Insurance Company300678Agent - Health12/31/20031/7/2005
InactiveReassure America Life Insurance Company300678Agent - Life12/31/20031/7/2005
InactiveShenandoah Life Insurance Company300130Agent - Health3/7/20063/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life3/7/200610/19/2007
InactiveSouthern Financial Life Insurance Company300664Agent - Life2/9/201012/23/2011
InactiveStandard Life and Accident Insurance Company301534Agent - Health2/28/200311/28/2006
InactiveStandard Life and Accident Insurance Company301534Agent - Life2/28/200311/28/2006
InactiveUnion Bankers Insurance Company301769Agent - Health8/1/20054/26/2007
InactiveUnion Bankers Insurance Company301769Agent - Life8/1/20054/26/2007
InactiveUnited American Insurance Company300910Agent - Health12/6/20023/3/2021
InactiveUnited American Insurance Company300910Agent - Life12/6/20023/3/2021
ActiveUnited Life Insurance Company664766Agent - Life10/20/2023 
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/20/20202/21/2022
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health7/20/20202/21/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/20/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/20/20202/21/2022
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health8/18/202012/28/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health8/18/202012/29/2021
InactiveWest Coast Life Insurance Company301607Agent - Health6/30/200911/16/2011
InactiveWest Coast Life Insurance Company301607Agent - Life6/30/200911/16/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMHMC, Inc574772Agent - Life1/19/20073/31/2021
ActiveNarrow Gate Farm, LLC638306Agent - Health8/16/2006 
ActiveNarrow Gate Farm, LLC638306Agent - Life8/16/2006 

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