DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Covertree Inc	DOIID	1224075	NAIC NPN	19950811

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/18/2022		3/31/2026
Active	Non Resident	Agent	Property	8/18/2022		3/31/2026
Active	Non Resident	Agent	Life	8/18/2022		3/31/2026
Active	Non Resident	Agent	Casualty	8/18/2022		3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/26/2023		3/31/2026
* 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	Bristol West Insurance Company	301655	Agent - Casualty	2/20/2023	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/20/2023	12/20/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/10/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/10/2023
Active	Markel American Insurance Company	300377	Agent - Casualty	9/5/2022
Active	Markel American Insurance Company	300377	Agent - Property	9/5/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Clark, Joshua Edward	1010470	Agent - Casualty	8/18/2022
Active	Clark, Joshua Edward	1010470	Agent - Health	8/18/2022
Active	Clark, Joshua Edward	1010470	Agent - Life	8/18/2022
Active	Clark, Joshua Edward	1010470	Agent - Property	8/18/2022
Active	Clark, Joshua Edward	1010470	Surplus Lines Broker - Not Applicable	4/26/2023