DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Joshua Edward	DOIID	1010470	NAIC NPN	18426317

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/25/2021		11/30/2027
Active	Non Resident	Agent	Life	9/19/2018		11/30/2027
Active	Non Resident	Agent	Health	2/25/2021		11/30/2027
Active	Non Resident	Agent	Casualty	2/25/2021		11/30/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/6/2023		11/30/2027
* 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	AAA Life Insurance Company	300287	Agent - Life	8/25/2020	1/19/2022
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	9/29/2020	12/31/2024
Active	CMFG Life Insurance Company	300929	Agent - Life	11/18/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/11/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/11/2024
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	9/6/2023
Active	Hanover Insurance Company (The)	300508	Agent - Property	9/6/2023
Active	Markel American Insurance Company	300377	Agent - Casualty	9/6/2022
Active	Markel American Insurance Company	300377	Agent - Property	9/6/2022
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	9/6/2023
Active	Principal National Life Insurance Company	301926	Agent - Life	10/14/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Covertree Inc	1224075	Agent - Life	8/18/2022
Active	Covertree Inc	1224075	Agent - Casualty	8/18/2022
Active	Covertree Inc	1224075	Agent - Health	8/18/2022
Active	Covertree Inc	1224075	Agent - Property	8/18/2022
Active	Covertree Inc	1224075	Surplus Lines Broker - Not Applicable	4/26/2023
Inactive	Ethos Technologies Inc.	934675	Agent - Life	3/22/2021	1/3/2022
Inactive	Ethos Technologies Inc.	934675	Agent - Casualty	3/22/2021	1/3/2022
Inactive	Ethos Technologies Inc.	934675	Agent - Health	3/22/2021	1/3/2022
Inactive	Ethos Technologies Inc.	934675	Agent - Property	3/22/2021	1/3/2022