DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clevenger, Madison	DOIID	1198333	NAIC NPN	20271002

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/11/2022		9/30/2024
Active	Non Resident	Agent	Casualty	4/11/2022		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	4/27/2022	6/22/2024
Inactive	American Strategic Insurance Corp	883540	Agent - Property	4/27/2022	6/22/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/18/2022	3/28/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/18/2022	3/28/2024
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	10/13/2023	2/23/2024
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	10/13/2023	2/23/2024
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	10/13/2023	2/23/2024
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	10/13/2023	2/23/2024
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	10/13/2023	2/23/2024
Inactive	Cincinnati Insurance Company	301298	Agent - Property	10/13/2023	2/23/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/18/2022	3/28/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/18/2022	3/28/2024
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/24/2022	2/26/2024
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/24/2022	2/26/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/14/2022	2/23/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/14/2022	2/23/2024
Inactive	United Financial Casualty Company	301886	Agent - Casualty	5/24/2022	2/26/2024
Inactive	United Financial Casualty Company	301886	Agent - Property	5/24/2022	2/26/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Guided Insurance Solutions	1190269	Agent - Casualty	4/27/2022	6/22/2024
Inactive	Guided Insurance Solutions	1190269	Agent - Property	4/27/2022	6/22/2024