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		11/30/2024
Active	Non Resident	Agent	Life	10/28/2009		11/30/2024
Active	Non Resident	Agent	Casualty	8/15/2000		11/30/2024
Active	Non Resident	Agent	Health	10/28/2009		11/30/2024
Active	Non Resident	Agent	Property	8/15/2000		11/30/2024
Inactive	Non Resident	Agent	General Lines	3/17/1999	8/15/2000
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/30/2002		11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date
Administrator	09/15/2024	11/30/2024
Agent	09/15/2024	11/30/2024
Surplus Lines Broker	09/15/2024	11/30/2024

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