DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Michael Scott	DOIID	1273655	NAIC NPN	20709434

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/10/2023	6/30/2024
Inactive	Non Resident	Agent	Property	5/10/2023	6/30/2024
* 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	Wellfleet Insurance Company	300542	Agent - Casualty	6/6/2023	4/26/2024
Inactive	Wellfleet Insurance Company	300542	Agent - Property	6/6/2023	4/26/2024
Inactive	Wellfleet New York Insurance Company	300245	Agent - Casualty	6/6/2023	4/26/2024
Inactive	Wellfleet New York Insurance Company	300245	Agent - Property	6/6/2023	4/26/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	biBERK Insurance Services, Inc.	909097	Agent - Casualty	6/6/2023	1/8/2024
Inactive	biBERK Insurance Services, Inc.	909097	Agent - Property	6/6/2023	1/8/2024