DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Javier	DOIID	1268657	NAIC NPN	19587087

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/13/2023		6/30/2026
Active	Non Resident	Agent	Personal Lines	4/9/2024		6/30/2026
Active	Non Resident	Agent	Health	4/13/2023		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
Active	American Economy Insurance Company	300315	Agent - Personal Lines	7/2/2024
Active	American Strategic Insurance Corp	883540	Agent - Personal Lines	4/22/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/13/2023	3/5/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	4/13/2023	3/5/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/13/2023	3/5/2024
Active	Bristol West Insurance Company	301655	Agent - Personal Lines	5/6/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Personal Lines	4/24/2024
Active	Cincinnati Insurance Company	301298	Agent - Personal Lines	4/24/2024
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	12/9/2023	6/6/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/13/2023	3/5/2024
Active	Dairyland Insurance Company	301370	Agent - Personal Lines	7/5/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	5/6/2024
Active	Integon Indemnity Corporation	300674	Agent - Personal Lines	1/24/2025
Active	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	5/20/2024
Active	Root Insurance Company	964834	Agent - Personal Lines	1/7/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	1/23/2024	2/29/2024
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	1/23/2024	2/29/2024