DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Austin Blair	DOIID	810566	NAIC NPN	16965329

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	5/30/2013		7/31/2027
Active	Resident	Agent	Health	12/7/2016		7/31/2027
* 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	05/15/2025	07/31/2025	02/26/2025	02/26/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Investors Heritage Life Insurance Company	300363	Agent - Life	6/21/2013
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	4/3/2017	4/18/2017
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	6/7/2017	11/30/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	R B Brown Insurance Agency Inc.	400773	Agent - Life	11/11/2022	1/22/2024
Denied	R B Brown Insurance Agency Inc.	400773	Agent - Health