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		11/30/2025
Active	Non Resident	Agent	Casualty	2/25/2021		11/30/2025
Active	Non Resident	Agent	Life	9/19/2018		11/30/2025
Active	Non Resident	Agent	Health	2/25/2021		11/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/6/2023		11/30/2025
* 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	09/15/2025	11/30/2025
Surplus Lines Broker	09/15/2025	11/30/2025

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