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DEPARTMENT OF INSURANCE
Affiliations
Name
Clark, Charles R
DOIID
559327
NAIC NPN
7494330
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Life
11/14/2002
11/30/2025
Active
Resident
Agent
Health
11/14/2002
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
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
09/15/2025
11/30/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Aetna Health and Life Insurance Company
300523
Agent - Health
8/31/2015
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
4/17/2013
12/23/2013
Active
American National Insurance Company
301861
Agent - Life
2/10/2021
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Health
10/19/2007
1/9/2012
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Life
3/15/2021
6/7/2022
Inactive
Arcadian Health Plan, Inc.
728196
Agent - Health
7/24/2020
3/9/2021
Active
Athene Annuity and Life Company
301893
Agent - Life
3/14/2025
Inactive
Atlantic Coast Life Insurance Company
642114
Agent - Health
2/22/2019
12/31/2020
Inactive
Atlantic Coast Life Insurance Company
642114
Agent - Life
2/22/2019
12/31/2020
Inactive
Colorado Bankers Life Insurance Company
301845
Agent - Health
5/15/2007
3/30/2011
Inactive
Colorado Bankers Life Insurance Company
301845
Agent - Life
5/15/2007
3/30/2011
Inactive
Columbian Life Insurance Company
300810
Agent - Health
7/18/2005
7/1/2013
Inactive
Columbian Life Insurance Company
300810
Agent - Life
3/10/2015
8/23/2024
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
11/6/2009
4/13/2015
Inactive
CompBenefits Insurance Company
301864
Agent - Health
11/6/2009
7/2/2013
Inactive
CompBenefits Insurance Company
301864
Agent - Life
11/6/2009
7/2/2013
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
3/24/2006
7/3/2008
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Life
3/24/2006
7/3/2008
Inactive
Cotton States Life Insurance Company
300268
Agent - Life
8/26/2005
1/10/2006
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/21/2009
4/13/2015
Inactive
EquiTrust Life Insurance Company
502870
Agent - Life
11/20/2015
3/9/2021
Inactive
Everly Life Insurance Company
561641
Agent - Life
3/21/2016
11/14/2018
Active
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
5/8/2015
Active
Forethought Life Insurance Company
301407
Agent - Health
2/28/2019
Active
Forethought Life Insurance Company
301407
Agent - Life
2/28/2019
Inactive
Great Southern Life Insurance Company
301443
Agent - Health
3/15/2021
6/7/2022
Inactive
Guarantee Reserve Life Insurance Company
300608
Agent - Health
11/26/2002
12/31/2003
Inactive
Guarantee Reserve Life Insurance Company
300608
Agent - Life
11/26/2002
12/31/2003
Active
Homesteaders Life Company
300836
Agent - Life
8/1/2011
Inactive
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
7/24/2020
3/9/2021
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
7/24/2020
3/9/2021
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
12/28/2004
4/13/2015
Inactive
Humana Insurance Company
301104
Agent - Health
7/24/2020
3/9/2021
Inactive
Humana Insurance Company
301104
Agent - Life
12/28/2004
4/13/2015
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
12/28/2004
4/13/2015
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
12/28/2004
4/13/2015
Inactive
Humana Medical Plan, Inc.
801568
Agent - Health
7/24/2020
3/9/2021
Inactive
Humana Wisconsin Health Organization Insurance Corporation
830687
Agent - Health
7/24/2020
3/9/2021
Inactive
Independent Order of Foresters
300743
Agent - Life
5/4/2015
11/26/2017
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Life
4/22/2004
9/16/2005
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
11/13/2003
6/7/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
11/13/2003
6/7/2008
Inactive
Kanawha Insurance Company
300127
Agent - Health
11/6/2009
4/13/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
11/6/2009
4/13/2015
Inactive
Liberty National Life Insurance Company
300827
Agent - Health
1/30/2009
12/28/2012
Inactive
Liberty National Life Insurance Company
300827
Agent - Life
1/30/2009
12/28/2012
Inactive
Lincoln Heritage Life Insurance Company
500016
Agent - Health
11/16/2010
4/9/2024
Inactive
Lincoln Heritage Life Insurance Company
500016
Agent - Life
11/16/2010
4/9/2024
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
9/19/2011
12/9/2013
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
9/19/2011
12/9/2013
Inactive
Lumico Life Insurance Company
300354
Agent - Health
6/29/2020
11/24/2020
Active
Madison National Life Insurance Company Inc.
301458
Agent - Health
12/21/2010
Inactive
Madison National Life Insurance Company Inc.
301458
Agent - Life
12/21/2010
7/8/2015
Inactive
National Guardian Life Insurance Company
300596
Agent - Health
11/3/2004
10/30/2006
Inactive
National Guardian Life Insurance Company
300596
Agent - Life
11/3/2004
10/30/2006
Inactive
North American Company for Life and Health Insurance
300291
Agent - Health
7/19/2011
3/24/2014
Active
North American Company for Life and Health Insurance
300291
Agent - Life
7/9/2015
Active
Pacific Life Insurance Company
301848
Agent - Health
9/17/2024
Active
Pacific Life Insurance Company
301848
Agent - Life
9/17/2024
Active
Pan-American Life Insurance Company
301530
Agent - Life
2/22/2024
Inactive
Reassure America Life Insurance Company
300678
Agent - Health
12/31/2003
1/7/2005
Inactive
Reassure America Life Insurance Company
300678
Agent - Life
12/31/2003
1/7/2005
Inactive
Shenandoah Life Insurance Company
300130
Agent - Health
3/7/2006
3/31/2009
Inactive
Shenandoah Life Insurance Company
300130
Agent - Life
3/7/2006
10/19/2007
Inactive
Southern Financial Life Insurance Company
300664
Agent - Life
2/9/2010
12/23/2011
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Health
2/28/2003
11/28/2006
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Life
2/28/2003
11/28/2006
Inactive
Union Bankers Insurance Company
301769
Agent - Health
8/1/2005
4/26/2007
Inactive
Union Bankers Insurance Company
301769
Agent - Life
8/1/2005
4/26/2007
Inactive
United American Insurance Company
300910
Agent - Health
12/6/2002
3/3/2021
Inactive
United American Insurance Company
300910
Agent - Life
12/6/2002
3/3/2021
Active
United Life Insurance Company
664766
Agent - Life
10/20/2023
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
7/20/2020
2/21/2022
Inactive
UnitedHealthcare Insurance Company of the River Valley
1027817
Agent - Health
7/20/2020
2/21/2022
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
7/20/2020
12/23/2021
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
7/20/2020
2/21/2022
Inactive
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
8/18/2020
12/28/2021
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
8/18/2020
12/29/2021
Inactive
West Coast Life Insurance Company
301607
Agent - Health
6/30/2009
11/16/2011
Inactive
West Coast Life Insurance Company
301607
Agent - Life
6/30/2009
11/16/2011
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
MHMC, Inc
574772
Agent - Life
1/19/2007
3/31/2021
Active
Narrow Gate Farm, LLC
638306
Agent - Health
8/16/2006
Active
Narrow Gate Farm, LLC
638306
Agent - Life
8/16/2006
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