black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DEREK CLARK

PRODUCER RESIDENT

License Number:
PRR195889
Status:
First Licensure:
10/13/2011
Cancel Date:
None
Renewal Date:
05/31/2025

Continuing Education:
Required by 05/31/2025
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
4

Mailing:
PORTLAND, ME 04101
Phone:
+1 (207) 871-1914
Email:
derek.clark@ml.com

History

License Type Start Date End Date
PRODUCER RESIDENT 10/13/2011 05/31/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
MERRILL LYNCH LIFE AGENCY INC
10/31/2011 AGN47860

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA
01/18/2012 LHF846 01/05/2021
AMERICAN GENERAL LIFE INSURANCE COMPANY
10/02/2024 LHF119
ATHENE ANNUITY AND LIFE COMPANY
01/17/2025 LHF64369
BRIGHTHOUSE LIFE INSURANCE COMPANY
12/18/2013 LHF277
DELAWARE LIFE INSURANCE COMPANY
10/25/2017 LHF720 09/26/2019
EMPOWER ANNUITY INSURANCE COMPANY OF AMERICA
01/19/2012 LHF874
EQUITABLE FINANCIAL LIFE INSURANCE COMPANY
01/19/2012 LHF407 12/13/2012
EQUITABLE FINANCIAL LIFE INSURANCE COMPANY
05/28/2013 LHF407 01/22/2024
JACKSON NATIONAL LIFE INSURANCE COMPANY
01/19/2012 LHF45199
JOHN HANCOCK LIFE INSURANCE COMPANY (USA)
01/20/2012 LHF210 11/19/2016
LINCOLN NATIONAL LIFE INSURANCE COMPANY-THE
01/04/2012 LHF619 09/17/2019
LINCOLN NATIONAL LIFE INSURANCE COMPANY-THE
09/07/2022 LHF619 09/14/2023
LINCOLN NATIONAL LIFE INSURANCE COMPANY-THE
09/27/2024 LHF619
METLIFE INVESTORS USA INSURANCE COMPANY
01/19/2012 LHF934 11/14/2014
METROPOLITAN LIFE INSURANCE COMPANY
01/19/2012 LHF380 06/23/2021
METROPOLITAN LIFE INSURANCE COMPANY
07/09/2024 LHF380
NATIONWIDE LIFE & ANNUITY INSURANCE COMPANY
05/12/2023 LHF62021
NATIONWIDE LIFE INSURANCE COMPANY
01/19/2012 LHF29
NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION
01/18/2012 LHF867 04/07/2014
PACIFIC LIFE INSURANCE COMPANY
01/19/2012 LHF237 08/10/2017
PACIFIC LIFE INSURANCE COMPANY
03/18/2022 LHF237 04/04/2023
PACIFIC LIFE INSURANCE COMPANY
01/03/2024 LHF237 03/05/2024
PACIFIC LIFE INSURANCE COMPANY
06/26/2024 LHF237
PRINCIPAL NATIONAL LIFE INSURANCE COMPANY
09/06/2013 LHF161852
PRUCO LIFE INSURANCE COMPANY
01/19/2012 LHF768
SYMETRA LIFE INSURANCE COMPANY
10/18/2017 LHF777 11/10/2023
SYMETRA LIFE INSURANCE COMPANY
01/06/2025 LHF777
TALCOTT RESOLUTION LIFE AND ANNUITY INSURANCE COMPANY
01/17/2012 LHF660 12/03/2015
TALCOTT RESOLUTION LIFE INSURANCE COMPANY
01/17/2012 LHF822 09/23/2013
TALCOTT RESOLUTION LIFE INSURANCE COMPANY
01/22/2015 LHF822 12/03/2015
TRANSAMERICA LIFE INSURANCE COMPANY
01/19/2012 LHF726 04/11/2014

Authority

Description Issue Date Termination Date Status
HEALTH 10/13/2011 Active
LIFE 10/13/2011 Active
VARIABLE CONTRACTS 10/13/2011 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16428179

Other Addresses

Address Type
1 MONUMENT SQ FL 10
PORTLAND, ME 04101-4033
Office

CE Courses

Date Description Course Number Content Areas
04/04/2024 EXPECT THE UNEXPECTED: A GUIDE TO LONG - TERM CARE, 4 HOUR TRAINING 21249
4
credits in Long Term Care
Total:
4

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/13/2025 06:33:36 AM