DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clearcover Ins Agency LLC	DOIID	1128685	NAIC NPN	18340037

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/12/2023		3/31/2025
Active	Non Resident	Agent	Property	10/12/2023		3/31/2025
Inactive	Non Resident	Agent	Life	4/9/2021	8/1/2021
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clearcover Insurance Company	1118667	Agent - Casualty	8/26/2021	9/1/2023
Inactive	Clearcover Insurance Company	1118667	Agent - Property	8/26/2021	9/1/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brigham, Derek J	334696	Agent - Casualty	4/9/2021	5/31/2021
Inactive	Brigham, Derek J	334696	Agent - Life	4/9/2021	5/31/2021
Inactive	Brigham, Derek J	334696	Agent - Property	4/9/2021	5/31/2021
Inactive	Christopher, Matthew W	1128011	Agent - Casualty	4/9/2021	6/30/2023
Inactive	Christopher, Matthew W	1128011	Agent - Property	4/9/2021	6/30/2023
Active	Pratt, Angela Michelle	1286412	Agent - Casualty	10/12/2023
Active	Pratt, Angela Michelle	1286412	Agent - Property	10/12/2023