DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Jane Glass	DOIID	311430	NAIC NPN	7160845

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	4/25/2005
Inactive	Resident	Agent	General Lines	5/4/1995	8/15/2000
Inactive	Resident	Agent	Health	3/10/1997	4/25/2005
Inactive	Resident	Agent	Life	3/10/1997	4/25/2005
Inactive	Resident	Agent	Property	8/15/2000	4/25/2005
* 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	AIG Assurance Company	300897	Agent - Casualty	8/15/2000	4/25/2005
Inactive	AIG Assurance Company	300897	Agent - General Lines	5/4/1998	8/15/2000
Inactive	AIG Assurance Company	300897	Agent - Property	8/15/2000	4/25/2005
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/28/1998	4/25/2005
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/28/1998	4/25/2005
Inactive	Allstate Indemnity Company	300778	Agent - General Lines	2/9/1999	7/3/2000
Inactive	Allstate Insurance Company	300773	Agent - General Lines	2/9/1999	7/3/2000
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	3/25/2002	4/22/2003
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	6/22/1995	6/30/1997
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/15/2000	8/17/2001
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	11/3/1997	8/15/2000
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/15/2000	8/17/2001
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/15/2000	8/17/2001
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	11/3/1997	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/15/2000	8/17/2001
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Continental Casualty Company	301019	Agent - General Lines	10/23/1997	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	10/11/2001
Inactive	Cotton States Life Insurance Company	300268	Agent - Life	9/28/1998	3/21/2001
Inactive	Countryway Insurance Company	300809	Agent - General Lines	6/1/1995	5/23/1997
Inactive	Everlake Life Insurance Company	300873	Agent - Health	2/9/1999	7/3/2000
Inactive	Everlake Life Insurance Company	300873	Agent - Life	2/9/1999	7/3/2000
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	4/18/1997	8/15/2000
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	8/15/2000	6/17/2003
Inactive	Farmers Casualty Insurance Company	301616	Agent - General Lines	8/8/1996	8/15/2000
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	8/15/2000	6/17/2003
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	8/15/2000	6/18/2001
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - General Lines	8/8/1996	8/15/2000
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	8/15/2000	6/18/2001
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/18/2004	4/25/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/18/2004	4/25/2005
Inactive	Generali - U.S. Branch	301128	Agent - General Lines	6/2/1997	12/1/1997
Inactive	Globe American Casualty Company	301033	Agent - Casualty	8/15/2000	5/1/2002
Inactive	Globe American Casualty Company	301033	Agent - General Lines	4/9/1997	8/15/2000
Inactive	Globe American Casualty Company	301033	Agent - Property	8/15/2000	5/1/2002
Inactive	Grain Dealers Mutual Insurance Company	300867	Agent - General Lines	7/25/1995	11/13/1996
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	5/4/1998	8/15/2000
Inactive	Illinois National Insurance Company	301367	Agent - Property	8/15/2000	3/31/2002
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	6/1/1995	5/2/1997
Inactive	Infinity Insurance Company	300416	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Insurance Company	300416	Agent - General Lines	4/4/1996	8/15/2000
Inactive	Infinity Select Insurance Company	300169	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Select Insurance Company	300169	Agent - General Lines	4/9/1996	8/15/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	7/26/2000	4/25/2005
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	7/26/2000	4/25/2005
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	5/27/1997	12/31/2002
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	5/27/1997	12/31/2002
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	10/15/1998	4/25/2005
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	10/15/1998	4/25/2005
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	5/4/1995	5/30/1997
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	6/10/1997	12/23/1998
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	6/10/1997	12/23/1998
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	2/16/1999	4/25/2005
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	2/16/1999	4/25/2005
Inactive	Lincoln General Insurance Company	301580	Agent - General Lines	6/5/1995	4/23/1997
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	8/15/2000	6/18/2001
Inactive	Metropolitan General Insurance Company	300709	Agent - General Lines	8/8/1996	8/15/2000
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	8/15/2000	6/18/2001
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/31/1997	5/12/2003
Inactive	National Insurance Association	301386	Agent - Casualty	8/15/2000	5/1/2002
Inactive	National Insurance Association	301386	Agent - General Lines	4/9/1997	8/15/2000
Inactive	National Insurance Association	301386	Agent - Property	8/15/2000	5/1/2002
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	12/12/1997	9/18/2000
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	3/24/1997	11/6/1997
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	12/10/1997	4/25/2005
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	12/10/1997	4/25/2005
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	6/20/1997	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	6/20/1997	10/23/2002
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/21/1999	4/25/2005
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/21/1999	4/25/2005
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	4/18/1998	3/6/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	8/17/2001
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	11/3/1997	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	8/17/2001
Inactive	Stonington Insurance Company	300746	Agent - General Lines	10/17/1997	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	8/17/2001
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	11/3/1997	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	8/17/2001
Inactive	Time Insurance Company	300683	Agent - Health	3/10/1997	4/25/2005
Inactive	Time Insurance Company	300683	Agent - Life	3/10/1997	4/25/2005
Inactive	TravCo Insurance Company	301828	Agent - Casualty	8/15/2000	8/17/2001
Inactive	TravCo Insurance Company	301828	Agent - General Lines	11/3/1997	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Property	8/15/2000	8/17/2001
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/15/2000	8/17/2001
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	11/3/1997	8/15/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/15/2000	8/17/2001
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	8/17/2001
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	11/3/1997	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	8/17/2001
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	10/26/2001
Inactive	Western Surety Company	300283	Agent - General Lines	10/28/1997	8/15/2000
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	4/18/1997	8/15/2000
Inactive	Woodmen Accident and Life Company	300147	Agent - Health	11/21/1997	6/28/2000
Inactive	Woodmen Accident and Life Company	300147	Agent - Life	11/21/1997	6/28/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hawkins Insurance Services	399653	Agent - Life	1/9/1998	5/31/2004
Inactive	Hawkins Insurance Services	399653	Agent - Health	1/9/1998	5/31/2004
Inactive	Hawkins Insurance Services	399653	Agent - General Lines	1/9/1998	8/15/2000
Inactive	Hawkins Insurance Services	399653	Agent - Property	8/15/2000	5/31/2004
Inactive	Hawkins Insurance Services	399653	Agent - Casualty	8/15/2000	5/31/2004
Inactive	Medlink Inc	400721	Agent - Life	1/1/2002	4/25/2005
Inactive	Medlink Inc	400721	Agent - Health	1/1/2002	4/25/2005