Individual Information

BRANDI JOLENE CLARK

RENO, NV 89521-8330

Active

brandi.mclark2@farmersagency.com

09/24/2020

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	3583753	09/24/2020	Active	09/24/2020	09/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	03/22/2023	Active	03/22/2023
Health	10/19/2022	Active	10/19/2022
Life	09/24/2020	Active	09/24/2020
Property	03/22/2023	Active	03/22/2023

Company Name	Appointment Type	Status	Active Date
17528
AETNA HEALTH OF UTAH INC	Health	Active	12/08/2023
16977
Company Name	Appointment Type	Status	Active Date
ANTHEM INSURANCE COMPANIES INC	Health	Active	06/01/2023
127606
Company Name	Appointment Type	Status	Active Date
BANKERS FIDELITY ASSURANCE COMPANY	Health	Active	04/04/2023
1612
Company Name	Appointment Type	Status	Active Date
BANKERS FIDELITY LIFE INSURANCE COMPANY	Health	Active	04/04/2023
	Life	Active	04/04/2023
105597
Company Name	Appointment Type	Status	Active Date
EDUCATORS HEALTH PLANS LIFE, ACCIDENT & HEALTH, INC.	Health	Active	11/10/2023
1538
Company Name	Appointment Type	Status	Active Date
HMO COLORADO INC D/B/A HMO NEVADA	Health	Active	06/01/2023
124556
Company Name	Appointment Type	Status	Active Date
HOMEOWNERS OF AMERICA INSURANCE COMPANY	Casualty	Active	08/28/2023
	Property	Active	08/28/2023
1550
Company Name	Appointment Type	Status	Active Date
PROMINENCE HEALTHFIRST	Health	Active	07/03/2023
1620
Company Name	Appointment Type	Status	Active Date
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE INC	Health	Active	06/01/2023

row(s) 1 - 11 of 11

Organization	Association Type	Type	Beg dte	End dte
M CLARK AGENCY, LLC	Designated Resp Lic Prdcr	Agency	04/27/2023	-
BRANDI CLARK AGENCY, LLC	Designated Resp Lic Prdcr	Agency	02/14/2024	-

1 - 2