DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Javier	DOIID	1268657	NAIC NPN	19587087

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/13/2023		6/30/2026
Active	Non Resident	Agent	Personal Lines	4/9/2024		6/30/2026
Active	Non Resident	Agent	Health	4/13/2023		6/30/2026
* 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
Active	American Economy Insurance Company	300315	Agent - Personal Lines	7/2/2024
Active	American Strategic Insurance Corp	883540	Agent - Personal Lines	4/22/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/13/2023	3/5/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	4/13/2023	3/5/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/13/2023	3/5/2024
Active	Bristol West Insurance Company	301655	Agent - Personal Lines	5/6/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Personal Lines	4/24/2024
Active	Cincinnati Insurance Company	301298	Agent - Personal Lines	4/24/2024
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	12/9/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/13/2023	3/5/2024
Active	Dairyland Insurance Company	301370	Agent - Personal Lines	7/5/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	5/6/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	5/20/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	1/23/2024	2/29/2024
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	1/23/2024	2/29/2024