DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Paige Clark Insurance, Inc.	DOIID	1277585	NAIC NPN	20734313

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/1/2023	2/19/2025
Inactive	Resident	Agent	Property	6/1/2023	2/19/2025
Inactive	Resident	Agent	Casualty	6/1/2023	2/19/2025
Inactive	Resident	Agent	Health	6/1/2023	2/19/2025
* 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	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	9/1/2023	2/19/2025
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	9/1/2023	2/19/2025
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	9/1/2023	2/19/2025
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	9/1/2023	2/19/2025
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	9/1/2023	2/19/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clark, Paige	1180042	Agent - Casualty	6/1/2023	2/19/2025
Inactive	Clark, Paige	1180042	Agent - Health	6/1/2023	2/19/2025
Inactive	Clark, Paige	1180042	Agent - Life	6/1/2023	2/19/2025
Inactive	Clark, Paige	1180042	Agent - Property	6/1/2023	2/19/2025