DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Clark	DOIID	1039752	NAIC NPN	18359664

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	5/9/2019	3/31/2024
Inactive	Non Resident	Agent	Casualty	5/9/2019	3/31/2024
* 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	Atain Insurance Company	681449	Agent - Casualty	11/1/2022	1/25/2024
Inactive	Atain Insurance Company	681449	Agent - Property	11/1/2022	1/25/2024
Inactive	Berkley Casualty Company	300731	Agent - Casualty	11/28/2022	3/31/2024
Inactive	Berkley Casualty Company	300731	Agent - Property	11/28/2022	3/31/2024
Inactive	Sentry Select Insurance Company	301648	Agent - Casualty	7/21/2020	4/26/2021
Inactive	Sentry Select Insurance Company	301648	Agent - Property	7/21/2020	4/26/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Burns & Wilcox Ltd	525929	Agent - Casualty	7/28/2023	3/31/2024
Inactive	Burns & Wilcox Ltd	525929	Agent - Property	7/28/2023	3/31/2024
Denied	Usi Insurance Services LLC	669260	Agent - Casualty
Denied	Usi Insurance Services LLC	669260	Agent - Property