DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clausen, Andrea Michele	DOIID	1028165	NAIC NPN	8930812

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/8/2019		4/30/2025
Active	Non Resident	Agent	Property	2/8/2019		4/30/2025
Active	Non Resident	Agent	Health	2/8/2019		4/30/2025
Active	Non Resident	Agent	Casualty	2/8/2019		4/30/2025
* 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
Active	National Casualty Company	301483	Agent - Casualty	3/27/2019
Active	National Casualty Company	301483	Agent - Property	3/27/2019
Active	Nationwide Life Insurance Company	300495	Agent - Health	3/5/2019
Active	Nationwide Life Insurance Company	300495	Agent - Life	3/5/2019
Active	Scottsdale Indemnity Company	300232	Agent - Casualty	3/27/2019
Active	Scottsdale Indemnity Company	300232	Agent - Property	3/27/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Eversports & Entertainment Insurance Inc	807327	Agent - Casualty	4/6/2022
Active	Eversports & Entertainment Insurance Inc	807327	Agent - Health	4/6/2022
Active	Eversports & Entertainment Insurance Inc	807327	Agent - Property	4/6/2022
Inactive	K & K Insurance Group Inc	513466	Agent - Casualty	3/27/2019	9/30/2021
Inactive	K & K Insurance Group Inc	513466	Agent - Life	3/27/2019	9/30/2021
Inactive	K & K Insurance Group Inc	513466	Agent - Health	3/27/2019	9/30/2021
Inactive	K & K Insurance Group Inc	513466	Agent - Property	3/27/2019	9/30/2021