DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bell & Clements Inc	DOIID	1067194	NAIC NPN	7150008

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/4/2019		3/31/2025
Active	Non Resident	Agent	Property	12/4/2019		3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/6/2020		3/31/2025
* 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	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Alternative Insurance Corporation	301697	Agent - Casualty	8/9/2021
Active	American Alternative Insurance Corporation	301697	Agent - Property	8/9/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Favata, Marc	1066288	Agent - Casualty	12/4/2019	10/19/2023
Inactive	Favata, Marc	1066288	Agent - Property	12/4/2019	10/19/2023
Inactive	Favata, Marc	1066288	Surplus Lines Broker - Not Applicable	1/6/2020	10/19/2023
Active	Parker, Jaymee	1240148	Agent - Casualty	10/19/2023
Active	Parker, Jaymee	1240148	Agent - Property	10/19/2023
Active	Parker, Jaymee	1240148	Surplus Lines Broker - Not Applicable	10/19/2023
Inactive	Young, James Albert	385361	Agent - Casualty	12/4/2019	3/10/2023
Inactive	Young, James Albert	385361	Agent - Property	12/4/2019	3/10/2023
Inactive	Young, James Albert	385361	Surplus Lines Broker - Not Applicable	1/6/2020	4/4/2022