DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Kacy Lee	DOIID	1015459	NAIC NPN	8930251

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	10/22/2020	6/30/2026
Active	Non Resident	Agent	Life	7/3/2025	6/30/2026
Active	Non Resident	Agent	Health	7/3/2025	6/30/2026
Active	Non Resident	Agent	Casualty	10/22/2020	6/30/2026
* 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	04/15/2026	06/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	5/4/2021	3/21/2023
Inactive	Allstate Indemnity Company	300778	Agent - Property	5/4/2021	3/21/2023
Inactive	Allstate Insurance Company	300773	Agent - Casualty	5/4/2021	3/21/2023
Inactive	Allstate Insurance Company	300773	Agent - Property	5/4/2021	3/21/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	5/4/2021	3/21/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	5/4/2021	3/21/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	5/4/2021	3/21/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	5/4/2021	3/21/2023
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	6/30/2020
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	6/30/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2021	3/1/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	1/26/2021	3/1/2023
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	7/14/2022	3/1/2023
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	7/14/2022	3/1/2023
Active	Assurity Life Insurance Company	301099	Agent - Health	7/3/2025
Active	Assurity Life Insurance Company	301099	Agent - Life	7/3/2025
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	1/25/2021	11/29/2022
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	1/25/2021	11/29/2022
Active	Bristol West Insurance Company	301655	Agent - Casualty	6/2/2025
Active	Bristol West Insurance Company	301655	Agent - Property	6/2/2025
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	7/7/2022	5/16/2023
Inactive	Dairyland Insurance Company	301370	Agent - Property	7/7/2022	5/16/2023
Inactive	EMC Property & Casualty Company	955217	Agent - Casualty	4/20/2022	5/11/2023
Inactive	EMC Property & Casualty Company	955217	Agent - Property	4/20/2022	5/11/2023
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	4/20/2022	5/11/2023
Inactive	EMCASCO Insurance Company	842790	Agent - Property	4/20/2022	5/11/2023
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	4/20/2022	5/11/2023
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	4/20/2022	5/11/2023
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	6/11/2024
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	6/11/2024
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/3/2025
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/2/2025
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/2/2025
Active	GEICO Marine Insurance Company	590512	Agent - Casualty	11/6/2025
Active	GEICO Marine Insurance Company	590512	Agent - Property	11/6/2025
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/22/2025
Active	Grange Indemnity Insurance Company	300793	Agent - Property	12/22/2025
Active	Grange Insurance Company	300234	Agent - Casualty	12/22/2025
Active	Grange Insurance Company	300234	Agent - Property	12/22/2025
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	12/22/2025
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	12/22/2025
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	7/1/2024
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	7/1/2024
Inactive	Integon Indemnity Corporation	300674	Agent - Casualty	6/10/2022	4/17/2023
Inactive	Integon Indemnity Corporation	300674	Agent - Property	6/10/2022	4/17/2023
Active	Markel American Insurance Company	300377	Agent - Casualty	7/28/2025
Active	Markel American Insurance Company	300377	Agent - Property	7/28/2025
Inactive	National Specialty Insurance Company	300993	Agent - Casualty	6/20/2023	12/18/2025
Inactive	National Specialty Insurance Company	300993	Agent - Property	6/20/2023	12/18/2025
Inactive	Next Insurance US Company	1083825	Agent - Casualty	6/13/2023	4/29/2025
Inactive	Next Insurance US Company	1083825	Agent - Property	6/13/2023	4/29/2025
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	1/12/2021	2/28/2023
Inactive	Ohio Security Insurance Company	300622	Agent - Property	1/12/2021	2/28/2023
Inactive	Plaza Insurance Company	300748	Agent - Casualty	1/11/2022	5/11/2023
Inactive	Plaza Insurance Company	300748	Agent - Property	1/11/2022	5/11/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/4/2021	3/6/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/4/2021	3/6/2023
Active	Root Insurance Company	964834	Agent - Casualty	1/7/2025
Active	Root Insurance Company	964834	Agent - Property	1/7/2025
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	11/16/2018	6/30/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	11/16/2018	6/30/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/16/2021	2/28/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/16/2021	2/28/2023
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	1/25/2021	11/29/2022
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	1/25/2021	11/29/2022
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	6/20/2023	12/18/2025
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	6/20/2023	12/18/2025
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	11/14/2018	12/9/2019
Inactive	The Phoenix Insurance Company	301502	Agent - Property	11/14/2018	12/9/2019
Active	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	7/15/2025
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	1/25/2021	11/29/2022
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	1/25/2021	11/29/2022
Inactive	Travelers Personal Insurance Company	705785	Agent - Casualty	11/14/2018	6/30/2020
Inactive	Travelers Personal Insurance Company	705785	Agent - Property	11/14/2018	6/30/2020
Active	Trustgard Insurance Company	300104	Agent - Casualty	12/22/2025
Active	Trustgard Insurance Company	300104	Agent - Property	12/22/2025
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	4/20/2022	5/11/2023
Inactive	Union Insurance Company of Providence	842791	Agent - Property	4/20/2022	5/11/2023
Inactive	United Financial Casualty Company	301886	Agent - Casualty	3/4/2021	3/6/2023
Inactive	United Financial Casualty Company	301886	Agent - Property	3/4/2021	3/6/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Clark Insurance Agency, LLC	1369710	Agent - Property	10/29/2024
Active	Clark Insurance Agency, LLC	1369710	Agent - Casualty	10/29/2024
Inactive	Ohio Insurance Alliance Group LLC	972523	Agent - Property	6/23/2021	5/5/2023
Inactive	Ohio Insurance Alliance Group LLC	972523	Agent - Casualty	6/23/2021	5/5/2023