Search → FRED D. CLARK III
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
FRED D. CLARK III
PRODUCER NON-RESIDENT
License Number:
PRN215424
Status:
First Licensure:
04/13/2013
Cancel Date:
None
Mailing:
AVON, IN 46123
Phone:
+1 (866) 726-9775
Fax:
+1 (877) 567-6038
Email:
fred.clark@anthem.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 04/13/2013 |
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04/16/2013 | LHF918 | 05/13/2013 | |
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10/22/2013 | LHF918 | 06/09/2017 | |
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05/26/2020 | LHF918 | 06/02/2021 | |
| HUMANADENTAL INSURANCE COMPANY |
11/03/2014 | LHF173873 | 10/28/2015 | |
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06/11/2018 | PCF86149 | 09/21/2023 | |
| STANDARD INSURANCE COMPANY |
12/16/2024 | LHF991 | ||
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK |
02/21/2018 | LHF267 | 09/26/2019 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| HEALTH | 04/13/2013 | Active | |
| LIFE | 04/13/2013 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
7323271
| Address | Type |
|---|---|
| AVON, IN 46123 |
Office |
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: 05/17/2025 08:20:39 AM
