DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Glenn Wesley	DOIID	310699	NAIC NPN	2017922

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	11/4/2010		11/30/2026
Active	Non Resident	Agent	Health	10/28/2009		11/30/2026
Active	Non Resident	Agent	Casualty	8/15/2000		11/30/2026
Active	Non Resident	Agent	Life	10/28/2009		11/30/2026
Active	Non Resident	Agent	Property	8/15/2000		11/30/2026
Inactive	Non Resident	Agent	General Lines	3/17/1999	8/15/2000
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/30/2002		11/30/2026
* 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	ACE American Insurance Company	300625	Agent - Casualty	5/1/2007
Active	ACE American Insurance Company	300625	Agent - Property	5/1/2007
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	9/30/2014
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	9/30/2014
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	9/30/2014
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	9/30/2014
Inactive	American Equity Specialty Insurance Company	517546	Agent - Casualty	10/4/2001	8/9/2002
Inactive	American Equity Specialty Insurance Company	517546	Agent - Property	8/3/2001	8/9/2002
Inactive	Avemco Insurance Company	300669	Agent - Casualty	1/18/2011	8/12/2011
Inactive	Avemco Insurance Company	300669	Agent - Property	10/14/2002	8/12/2011
Inactive	Berkley Insurance Company	301355	Agent - Casualty	12/8/2010	11/30/2017
Inactive	Berkley Insurance Company	301355	Agent - Property	12/8/2010	1/18/2016
Active	Carolina Casualty Insurance Company	300271	Agent - Casualty	12/8/2020
Inactive	Carolina Casualty Insurance Company	300271	Agent - Property	9/6/2002	12/4/2014
Inactive	Farmington Casualty Company	301137	Agent - Casualty	10/1/2004	12/9/2013
Inactive	Farmington Casualty Company	301137	Agent - Property	10/1/2004	12/9/2013
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	8/26/2013	11/2/2018
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	8/26/2013	11/2/2018
Inactive	Great American Assurance Company	300327	Agent - Casualty	8/26/2013	7/20/2016
Inactive	Great American Assurance Company	300327	Agent - Property	8/26/2013	7/20/2016
Inactive	Great American Insurance Company	301586	Agent - Casualty	9/26/2007	11/2/2018
Inactive	Great American Insurance Company	301586	Agent - Property	9/26/2007	11/2/2018
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	8/26/2013	11/2/2018
Inactive	Great American Insurance Company of New York	301897	Agent - Property	8/26/2013	11/2/2018
Inactive	Great American Spirit Insurance Company	300233	Agent - Casualty	12/9/2015	11/2/2018
Inactive	Great American Spirit Insurance Company	300233	Agent - Property	12/9/2015	11/2/2018
Inactive	Greenwich Insurance Company	301754	Agent - Casualty	4/29/2013	11/3/2021
Inactive	Greenwich Insurance Company	301754	Agent - Property	4/29/2013	11/3/2021
Inactive	Gulf Insurance Company	300761	Agent - Casualty	8/15/2000	6/30/2005
Inactive	Gulf Insurance Company	300761	Agent - General Lines	3/17/1999	8/15/2000
Inactive	Gulf Insurance Company	300761	Agent - Property	8/15/2000	6/30/2005
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	8/31/2009
Active	Hanover Insurance Company (The)	300508	Agent - Property	8/31/2009
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	5/1/2007
Active	Indemnity Insurance Company of North America	301760	Agent - Property	5/1/2007
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Casualty	8/30/2000	5/31/2003
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Property	8/30/2000	5/31/2003
Active	Lyndon Southern Insurance Company	609602	Agent - Casualty	12/13/2019
Active	Lyndon Southern Insurance Company	609602	Agent - Property	12/13/2019
Active	Medical Protective Company (The)	301207	Agent - Casualty	8/3/2011
Active	Medical Protective Company (The)	301207	Agent - Property	8/3/2011
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	7/29/2010	8/27/2013
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	7/29/2010	8/27/2013
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/12/2002
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/12/2002
Active	Navigators Insurance Company	301312	Agent - Casualty	7/7/2006
Active	Navigators Insurance Company	301312	Agent - Property	7/7/2006
Inactive	New York Life Insurance Company	300431	Agent - Health	12/11/2009	7/18/2011
Inactive	New York Life Insurance Company	300431	Agent - Life	12/11/2009	7/18/2011
Inactive	Northland Insurance Company	300201	Agent - Casualty	11/13/2000	6/11/2001
Inactive	Northland Insurance Company	300201	Agent - Property	11/13/2000	6/11/2001
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	9/30/2014
Active	Pacific Employers Insurance Company	301753	Agent - Property	9/30/2014
Inactive	Protective Insurance Company	301117	Agent - Casualty	2/21/2012	5/13/2015
Inactive	Protective Insurance Company	301117	Agent - Property	2/21/2012	5/13/2015
Active	RLI Insurance Company	301217	Agent - Casualty	5/8/2018
Active	RLI Insurance Company	301217	Agent - Property	5/8/2018
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/9/2006	12/9/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/9/2006	12/9/2013
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	12/2/2013	9/11/2018
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/9/2006	12/9/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006	12/9/2013
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	10/7/2004	12/9/2013
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	10/7/2004	12/9/2013
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	8/2/2013
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	8/2/2013
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	8/12/2010	12/14/2023
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	8/12/2010	12/14/2023
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	5/1/2007	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	5/1/2007	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fox Point Programs, Inc.	649056	Agent - Property	2/19/2007
Active	Fox Point Programs, Inc.	649056	Agent - Casualty	2/19/2007
Inactive	Modern Insurance LLC	765168	Agent - Property	10/20/2011	3/28/2013
Inactive	Modern Insurance LLC	765168	Agent - Casualty	10/20/2011	3/28/2013
Active	Rockwood Programs, Inc.	600058	Agent - Property	1/10/2005
Active	Rockwood Programs, Inc.	600058	Agent - Casualty	1/10/2005
Active	Rockwood Programs, Inc.	600058	Surplus Lines Broker - Not Applicable	3/14/2018
Inactive	Starr Wright Insurance Agency , Inc	397651	Agent - Property	12/17/2009	10/15/2014
Inactive	Starr Wright Insurance Agency , Inc	397651	Agent - Casualty	12/17/2009	10/15/2014
Inactive	Starr Wright Insurance Agency , Inc	397651	Agent - Life	10/21/2014	12/3/2014
Inactive	Starr Wright Insurance Agency , Inc	397651	Agent - Health	10/21/2014	12/3/2014
Inactive	Starr Wright Insurance Agency , Inc	397651	Administrator - Not Applicable	11/4/2010	12/3/2014