DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Melissa Dawn	DOIID	571320	NAIC NPN	7723857

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	1/30/2018	10/31/2027
Active	Resident	Agent	Property	1/30/2018	10/31/2027
Denied	Resident	Agent	Life
Denied	Resident	Agent	Health
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Casualty	7/23/2014	10/31/2017
Inactive	ACE American Insurance Company	300625	Agent - Property	7/23/2014	10/31/2017
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	2/1/2017	10/31/2017
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	2/1/2017	10/31/2017
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	7/23/2014	10/31/2017
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	7/23/2014	10/31/2017
Inactive	AIG Assurance Company	300897	Agent - Casualty	4/6/2005	8/22/2008
Inactive	AIG Assurance Company	300897	Agent - Property	4/6/2005	8/22/2008
Active	Allstate Indemnity Company	300778	Agent - Casualty	8/4/2021
Active	Allstate Indemnity Company	300778	Agent - Property	8/4/2021
Active	Allstate Insurance Company	300773	Agent - Casualty	8/4/2021
Active	Allstate Insurance Company	300773	Agent - Property	8/4/2021
Inactive	Allstate Northbrook Indemnity Company	301309	Agent - Casualty	6/13/2005	10/20/2008
Inactive	Allstate Northbrook Indemnity Company	301309	Agent - Property	6/13/2005	10/20/2008
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/4/2021
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/4/2021
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	8/4/2021
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	8/4/2021
Active	American Economy Insurance Company	300315	Agent - Casualty	8/25/2022
Active	American Economy Insurance Company	300315	Agent - Property	8/25/2022
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	7/17/2008	8/28/2008
Inactive	American Family Home Insurance Company	301817	Agent - Property	7/17/2008	8/28/2008
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/27/2004	8/28/2008
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/27/2004	8/28/2008
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/21/2005	8/28/2008
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/21/2005	8/28/2008
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/17/2008	8/28/2008
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/17/2008	8/28/2008
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	7/3/2014	10/31/2017
Inactive	Ansur America Insurance Company	520667	Agent - Property	7/3/2014	10/31/2017
Inactive	Assurance Company of America	300432	Agent - Casualty	7/1/2004	9/4/2008
Inactive	Assurance Company of America	300432	Agent - Property	7/1/2004	9/4/2008
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	5/4/2004	1/24/2008
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	5/4/2004	1/24/2008
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	5/5/2015	10/31/2017
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	5/5/2015	10/31/2017
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/4/2019
Active	Bristol West Insurance Company	301655	Agent - Property	12/4/2019
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	3/1/2018
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	3/1/2018
Active	CSAA General Insurance Company	606675	Agent - Casualty	3/1/2018
Active	CSAA General Insurance Company	606675	Agent - Property	3/1/2018
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	9/16/2022
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	9/16/2022
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	9/16/2022
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	9/16/2022
Active	Cincinnati Insurance Company	301298	Agent - Casualty	9/16/2022
Active	Cincinnati Insurance Company	301298	Agent - Property	9/16/2022
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	7/3/2004	9/8/2008
Inactive	Dairyland Insurance Company	301370	Agent - Property	7/3/2004	9/8/2008
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	5/5/2017	10/31/2017
Inactive	Encompass Indemnity Company	546376	Agent - Property	5/5/2017	10/31/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	5/5/2017	10/31/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Property	5/5/2017	10/31/2017
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	2/18/2004	1/30/2008
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	2/18/2004	1/30/2008
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	1/26/2005	9/9/2008
Inactive	Farmers Insurance Exchange	300336	Agent - Property	1/26/2005	9/9/2008
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/8/2009	5/21/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/8/2009	5/21/2013
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/4/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/4/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/11/2015	10/31/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/11/2015	10/31/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	6/11/2015	10/31/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	6/11/2015	10/31/2017
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	7/3/2014	10/31/2017
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	7/3/2014	10/31/2017
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	7/1/2004	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	7/1/2004	11/30/2007
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	2/14/2018
Active	Grange Indemnity Insurance Company	300793	Agent - Property	2/14/2018
Active	Grange Insurance Company	300234	Agent - Casualty	2/14/2018
Active	Grange Insurance Company	300234	Agent - Property	2/14/2018
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/14/2018
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/14/2018
Inactive	Granite State Insurance Company	300818	Agent - Casualty	1/11/2007	8/22/2008
Inactive	Granite State Insurance Company	300818	Agent - Property	1/11/2007	8/22/2008
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	2/2/2004	3/9/2005
Inactive	Hallmark National Insurance Company	300494	Agent - Property	2/2/2004	3/9/2005
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	4/4/2024	8/20/2025
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	4/4/2024	8/20/2025
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	6/25/2012	12/17/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	6/25/2012	12/17/2014
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/11/2007	8/22/2008
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/11/2007	8/22/2008
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	5/5/2015	10/31/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	5/5/2015	10/31/2017
Active	Kentucky National Insurance Company	301625	Agent - Casualty	10/6/2025
Active	Kentucky National Insurance Company	301625	Agent - Property	10/6/2025
Active	MICO Insurance Company	301664	Agent - Casualty	11/29/2023
Active	MICO Insurance Company	301664	Agent - Property	11/29/2023
Inactive	Maryland Casualty Company	301719	Agent - Casualty	7/1/2004	9/4/2008
Inactive	Maryland Casualty Company	301719	Agent - Property	7/1/2004	9/4/2008
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Casualty	2/2/2004	3/9/2005
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Property	2/2/2004	3/9/2005
Active	Meridian Security Insurance Company	300423	Agent - Casualty	3/6/2020
Active	Meridian Security Insurance Company	300423	Agent - Property	3/6/2020
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	10/8/2009	5/21/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	10/8/2009	5/21/2013
Active	Milbank Insurance Company	925185	Agent - Casualty	3/6/2020
Active	Milbank Insurance Company	925185	Agent - Property	3/6/2020
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	5/1/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	5/1/2019
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	3/27/2014	10/31/2017
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	3/27/2014	10/31/2017
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	7/1/2004	9/4/2008
Inactive	Northern Insurance Company of New York	301317	Agent - Property	7/1/2004	9/4/2008
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/2/2021	6/10/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/2/2021	6/10/2021
Inactive	Omni Indemnity Company	301456	Agent - Casualty	11/8/2006	9/11/2008
Inactive	Omni Indemnity Company	301456	Agent - Property	11/8/2006	9/11/2008
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	5/5/2015	10/31/2017
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	5/5/2015	10/31/2017
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	8/22/2008
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	8/22/2008
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/25/2004	4/28/2008
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	6/25/2004	4/28/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	3/1/2004	4/28/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	3/1/2004	4/28/2008
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	2/8/2018
Active	SAFECO Insurance Company of America	300159	Agent - Property	2/8/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/29/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/29/2022
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/21/2010	12/10/2012
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	6/21/2010	12/10/2012
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/4/2004	1/24/2008
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/4/2004	1/24/2008
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	3/6/2020
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	10/29/2008	10/19/2009
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	10/29/2008	10/19/2009
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	10/29/2008	10/19/2009
Inactive	State Farm General Insurance Company	301122	Agent - Property	10/29/2008	10/19/2009
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	10/29/2008	10/19/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	5/4/2004	1/24/2008
Inactive	The Phoenix Insurance Company	301502	Agent - Property	5/4/2004	1/24/2008
Inactive	TravCo Insurance Company	301828	Agent - Casualty	5/4/2004	1/24/2008
Inactive	TravCo Insurance Company	301828	Agent - Property	5/4/2004	1/24/2008
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	5/4/2004	1/24/2008
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	5/4/2004	1/24/2008
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/19/2005	1/24/2008
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/19/2005	1/24/2008
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	5/4/2004	1/24/2008
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	5/4/2004	1/24/2008
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	5/4/2004	1/24/2008
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	5/4/2004	1/24/2008
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	9/9/2008
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	9/9/2008
Active	Trustgard Insurance Company	300104	Agent - Casualty	2/14/2018
Active	Trustgard Insurance Company	300104	Agent - Property	2/14/2018
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005	4/28/2008
Inactive	United Financial Casualty Company	301886	Agent - Property	12/2/2005	4/28/2008
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	7/13/2011	7/28/2017
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	7/13/2011	7/28/2017
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	7/13/2011	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	7/13/2011	12/2/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	4/6/2007	2/28/2008
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	4/6/2007	2/28/2008
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	7/23/2014	10/31/2017
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	7/23/2014	10/31/2017
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/2/2021	6/10/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/2/2021	6/10/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	2/22/2018
Active	Westfield Insurance Company	301950	Agent - Property	2/22/2018
Active	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021
Active	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/2/2021	6/10/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/2/2021	6/10/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/2/2021	6/10/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/2/2021	6/10/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Energy Ins Agency Inc	398833	Agent - Casualty	2/8/2018
Active	Energy Ins Agency Inc	398833	Agent - Property	2/8/2018
Inactive	Madison Insurance Agency Inc	507083	Agent - Casualty	12/2/2003	1/21/2004
Inactive	Madison Insurance Agency Inc	507083	Agent - Property	12/2/2003	1/21/2004
Inactive	Southwest Business Corporation	552783	Agent - Casualty	10/8/2009	1/13/2012
Inactive	Southwest Business Corporation	552783	Agent - Property	10/8/2009	1/13/2012