Individual License Details

  

The license status information shown below represents information taken from the California Department of Insurance (CDI) licensing database at the time of your inquiry. This information may not always be current. For example, items sent to the CDI may be pending review or simply may not have yet been entered into our licensing database. For instance, continuing education hours quoted may not reflect courses taken in the last 45 days. This database will reflect concluded disciplinary actions against licensees. Complaints and ongoing investigations are confidential and, therefore, not available.

Sections 12938 and 12968 of the California Insurance Code, in part, require the CDI to make all fully executed stipulations, orders, decisions, and settlements available to the public on its Web site. You can search for key documents regarding any enforcement action the department has filed against this licensee on the Enforcement Action Documents Search Page. Please note Enforcement Action Documents (i.e. legal pleadings and orders generated during the enforcement action) are available on this Web site only for enforcement actions taken on or after July 1, 2001. If an enforcement action was taken prior to July 1, 2001, this Web site will only provide a summary description of the enforcement action. Documents relating to actions taken prior to July 1, 2001 may be obtained by submitting a written request to the CDI.


Name: CLARK MICHAEL RAY License#: 0B22623
Resident Insurance Producer
License type: Life-Only Status:
Active
Status Date:
08/19/1993
Expiration Date:
08/31/2015
Resident Insurance Producer
License type: Accident and Health Status:
Active
Status Date:
08/19/1993
Expiration Date:
08/31/2015
Resident Insurance Producer
License type: Variable Contracts Status:
Active
Status Date:
09/24/1993
Expiration Date:
08/31/2015
Business Address: 74-770 HIGHWAY 111, SUITE 104 INDIAN WELLS, CA 92210

Enforcement Action Description
Enforcement Action: ORD: ORDER ID: <08VA009643> AP MONETARY PENALTY IN THE AMOUNT OF ONE THOUSAND (1000) DOLLARS.ON DATE: 12/01/2009

Company Appointments
This licensee is authorized to transact on behalf of the following:
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICAFor: Accident and Health Effective: 11/22/1996
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICAFor: Life-Only Effective: 11/22/1996
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANYFor: Accident and Health Effective: 03/16/2001
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANYFor: Life-Only Effective: 12/30/2010
AMERICAN NATIONAL INSURANCE COMPANYFor: Accident and Health Effective: 11/14/2007
AMERICAN NATIONAL INSURANCE COMPANYFor: Life-Only Effective: 11/14/2007
AMERICO FINANCIAL LIFE AND ANNUITY INSURANCE COMPANYFor: Accident and Health Effective: 05/03/2007
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANYFor: Accident and Health Effective: 08/01/1996
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANYFor: Life-Only Effective: 08/01/1996
ASSURITY LIFE INSURANCE COMPANYFor: Accident and Health Effective: 11/12/2007
ASSURITY LIFE INSURANCE COMPANYFor: Life-Only Effective: 11/12/2007
ATHENE ANNUITY AND LIFE COMPANYFor: Life-Only Effective: 08/12/2013
AXA EQUITABLE LIFE INSURANCE COMPANYFor: Accident and Health Effective: 08/02/2004
AXA EQUITABLE LIFE INSURANCE COMPANYFor: Life-Only Effective: 08/02/2004
BANNER LIFE INSURANCE COMPANYFor: Life-Only Effective: 01/19/2011
BERKSHIRE LIFE INSURANCE COMPANY OF AMERICAFor: Accident and Health Effective: 10/09/2006
BERKSHIRE LIFE INSURANCE COMPANY OF AMERICAFor: Life-Only Effective: 10/09/2006
BLUE SHIELD OF CALIFORNIA LIFE & HEALTH INSURANCE COMPANYFor: Accident and Health Effective: 08/18/2004
BLUE SHIELD OF CALIFORNIA LIFE & HEALTH INSURANCE COMPANYFor: Life-Only Effective: 08/18/2004
CINCINNATI LIFE INSURANCE COMPANY (THE)For: Accident and Health Effective: 06/24/2004
CINCINNATI LIFE INSURANCE COMPANY (THE)For: Life-Only Effective: 06/24/2004
CONTINENTAL CASUALTY COMPANYFor: Disability Only Effective: 05/15/1996
EQUITRUST LIFE INSURANCE COMPANYFor: Life-Only Effective: 06/05/2008
FIDELITY & GUARANTY LIFE INSURANCE COMPANYFor: Life-Only Effective: 12/31/2012
FIDELITY LIFE ASSOCIATION, A LEGAL RESERVE LIFE INSURANCE COMPANYFor: Life-Only Effective: 12/19/2007
FORETHOUGHT LIFE INSURANCE COMPANYFor: Accident and Health Effective: 06/27/2013
FORETHOUGHT LIFE INSURANCE COMPANYFor: Life-Only Effective: 06/27/2013
GENWORTH LIFE AND ANNUITY INSURANCE COMPANYFor: Accident and Health Effective: 06/24/2002
GENWORTH LIFE AND ANNUITY INSURANCE COMPANYFor: Life-Only Effective: 06/24/2002
GENWORTH LIFE INSURANCE COMPANYFor: Accident and Health Effective: 10/18/1996
GENWORTH LIFE INSURANCE COMPANYFor: Life-Only Effective: 10/18/1996
GREAT AMERICAN LIFE INSURANCE COMPANYFor: Life-Only Effective: 03/31/2011
GUARANTEE TRUST LIFE INSURANCE COMPANYFor: Life-Only Effective: 01/07/2008
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (THE)For: Accident and Health Effective: 10/09/2006
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (THE)For: Life-Only Effective: 10/09/2006
GUGGENHEIM LIFE AND ANNUITY COMPANYFor: Life-Only Effective: 02/10/2014
HARTFORD LIFE AND ANNUITY INSURANCE COMPANYFor: Accident and Health Effective: 12/02/2005
HARTFORD LIFE AND ANNUITY INSURANCE COMPANYFor: Life-Only Effective: 12/02/2005
HARTFORD LIFE INSURANCE COMPANYFor: Accident and Health Effective: 12/02/2005
HARTFORD LIFE INSURANCE COMPANYFor: Life-Only Effective: 12/02/2005
HEALTH NET LIFE INSURANCE COMPANYFor: Accident and Health Effective: 05/01/2003
HEALTH NET LIFE INSURANCE COMPANYFor: Life-Only Effective: 05/01/2003
ING USA ANNUITY AND LIFE INSURANCE COMPANYFor: Life-Only Effective: 06/27/2002
JACKSON NATIONAL LIFE INSURANCE COMPANYFor: Life-Only Effective: 01/11/1996
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.)For: Accident and Health Effective: 05/28/1999
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.)For: Life-Only Effective: 05/28/1999
KAISER PERMANENTE INSURANCE COMPANYFor: Disability Only Effective: 01/03/2008
LINCOLN BENEFIT LIFE COMPANYFor: Accident and Health Effective: 12/13/2000
LINCOLN BENEFIT LIFE COMPANYFor: Life-Only Effective: 12/13/2000
LINCOLN NATIONAL LIFE INSURANCE COMPANY (THE)For: Accident and Health Effective: 11/03/2000
LINCOLN NATIONAL LIFE INSURANCE COMPANY (THE)For: Life-Only Effective: 11/03/2000
LOYAL AMERICAN LIFE INSURANCE COMPANYFor: Accident and Health Effective: 05/12/2008
LOYAL AMERICAN LIFE INSURANCE COMPANYFor: Life-Only Effective: 05/12/2008
MANUFACTURERS LIFE INSURANCE COMPANY OF AMERICA (THE)For: Accident and Health Effective: 05/28/1999
MANUFACTURERS LIFE INSURANCE COMPANY OF AMERICA (THE)For: Life-Only Effective: 05/28/1999
METLIFE INVESTORS USA INSURANCE COMPANYFor: Accident and Health Effective: 07/23/2004
METLIFE INVESTORS USA INSURANCE COMPANYFor: Life-Only Effective: 07/23/2004
METROPOLITAN LIFE INSURANCE COMPANYFor: Accident and Health Effective: 09/02/2004
METROPOLITAN LIFE INSURANCE COMPANYFor: Life-Only Effective: 09/02/2004
MIDLAND NATIONAL LIFE INSURANCE COMPANYFor: Accident and Health Effective: 09/17/2012
MIDLAND NATIONAL LIFE INSURANCE COMPANYFor: Life-Only Effective: 10/14/2008
MINNESOTA LIFE INSURANCE COMPANYFor: Accident and Health Effective: 05/12/2010
MINNESOTA LIFE INSURANCE COMPANYFor: Life-Only Effective: 05/12/2010
MONY LIFE INSURANCE COMPANY OF AMERICAFor: Accident and Health Effective: 06/13/2004
MONY LIFE INSURANCE COMPANY OF AMERICAFor: Life-Only Effective: 06/13/2004
NATIONAL WESTERN LIFE INSURANCE COMPANYFor: Life-Only Effective: 03/31/2011
NATIONWIDE LIFE INSURANCE COMPANYFor: Accident and Health Effective: 02/28/2001
NATIONWIDE LIFE INSURANCE COMPANYFor: Life-Only Effective: 02/28/2001
NORTH AMERICAN COMPANY FOR LIFE AND HEALTH INSURANCEFor: Accident and Health Effective: 05/16/2011
NORTH AMERICAN COMPANY FOR LIFE AND HEALTH INSURANCEFor: Life-Only Effective: 05/16/2011
PACIFICARE LIFE AND HEALTH INSURANCE COMPANYFor: Accident and Health Effective: 10/01/2003
PACIFICARE LIFE AND HEALTH INSURANCE COMPANYFor: Life-Only Effective: 10/01/2003
PENN INSURANCE AND ANNUITY COMPANY (THE)For: Life-Only Effective: 02/01/2008
PENN MUTUAL LIFE INSURANCE COMPANY (THE)For: Life-Only Effective: 02/01/2008
PENN TREATY NETWORK AMERICA INSURANCE COMPANYFor: Accident and Health Effective: 04/13/2000
PENN TREATY NETWORK AMERICA INSURANCE COMPANYFor: Life-Only Effective: 04/13/2000
PRINCIPAL LIFE INSURANCE COMPANYFor: Accident and Health Effective: 07/31/2002
PRINCIPAL LIFE INSURANCE COMPANYFor: Life-Only Effective: 07/31/2002
PROTECTIVE LIFE INSURANCE COMPANYFor: Accident and Health Effective: 12/31/2002
PROTECTIVE LIFE INSURANCE COMPANYFor: Life-Only Effective: 12/31/2002
PRUCO LIFE INSURANCE COMPANYFor: Accident and Health Effective: 11/24/2003
PRUCO LIFE INSURANCE COMPANYFor: Life-Only Effective: 11/24/2003
PRUDENTIAL ANNUITIES LIFE ASSURANCE CORPORATIONFor: Accident and Health Effective: 03/14/2006
PRUDENTIAL ANNUITIES LIFE ASSURANCE CORPORATIONFor: Life-Only Effective: 03/14/2006
PRUDENTIAL INSURANCE COMPANY OF AMERICA (THE)For: Accident and Health Effective: 04/29/2005
PRUDENTIAL INSURANCE COMPANY OF AMERICA (THE)For: Life-Only Effective: 04/29/2005
SECURITY BENEFIT LIFE INSURANCE COMPANYFor: Accident and Health Effective: 05/21/2009
SECURITY BENEFIT LIFE INSURANCE COMPANYFor: Life-Only Effective: 05/21/2009
STONEBRIDGE LIFE INSURANCE COMPANYFor: Accident and Health Effective: 07/26/2007
STONEBRIDGE LIFE INSURANCE COMPANYFor: Life-Only Effective: 07/26/2007
SUN LIFE ASSURANCE COMPANY OF CANADA (U.S.)For: Life-Only Effective: 04/21/2004
SUN LIFE ASSURANCE COMPANY OF CANADAFor: Accident and Health Effective: 12/07/2000
SUN LIFE ASSURANCE COMPANY OF CANADAFor: Life-Only Effective: 12/07/2000
TRANSAMERICA LIFE INSURANCE COMPANYFor: Accident and Health Effective: 11/21/2008
TRANSAMERICA LIFE INSURANCE COMPANYFor: Life-Only Effective: 11/21/2008
WEST COAST LIFE INSURANCE COMPANYFor: Accident and Health Effective: 02/17/2000
WEST COAST LIFE INSURANCE COMPANYFor: Life-Only Effective: 02/17/2000

Agencies or Organizations
This licensee is authorized to transact on behalf of the following:
SECURITIES AMERICA, INC.For: Variable ContractsEffective: 12/15/2004
SECURITIES AMERICA, INC.For: Accident and HealthEffective: 12/15/2004
SECURITIES AMERICA, INC.For: Life-OnlyEffective: 12/15/2004
OFFICIALQUOTE L.L.C.For: Accident and HealthEffective: 04/25/2005
OFFICIALQUOTE L.L.C.For: Life-OnlyEffective: 04/25/2005

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If you have any questions about the license information you retrieved, please see the most commonly asked questions in our License Questions and Answers section. If you need further assistance, please call CDI's Producer License Bureau at (800) 967-9331 or (916) 322-3555, or send an e-mail to Producer Licensing Bureau Please be sure to include your name, license number, e-mail address and telephone number in all correspondence with the Department.

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Last Revised - June 03, 2013 11:19 AM
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