DEPARTMENT OF INSURANCE

Affiliations

Name	Clarke, Charles Jordan	DOIID	313710	NAIC NPN	5944564

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	2/8/1995		3/31/2027
Active	Resident	Agent	Life	2/8/1995		3/31/2027
Active	Resident	Agent	Casualty	5/31/2001		3/31/2027
Active	Resident	Agent	Variable Life and Variable Annuities	1/4/2002		3/31/2027
Active	Resident	Agent	Property	8/15/2000		3/31/2027
Inactive	Resident	Agent	General Lines	7/19/1994	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	03/12/2025	03/12/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	1st Choice Advantage Insurance Company, Inc.	750782	Agent - Casualty	8/12/2011	6/1/2021
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	10/31/2016
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	10/31/2016
Inactive	AIG Assurance Company	300897	Agent - General Lines	10/19/1998	8/15/2000
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	5/6/2014	11/8/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	5/6/2014	11/8/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/21/2018
Active	Aetna Life Insurance Company	301140	Agent - Health	2/21/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	2/21/2018
Active	All America Insurance Company	300078	Agent - Casualty	6/14/2022
Active	All America Insurance Company	300078	Agent - Property	6/14/2022
Active	All Savers Insurance Company	301940	Agent - Health	5/19/2022
Active	All Savers Insurance Company	301940	Agent - Life	5/19/2022
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	1/19/2004	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/19/2004	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	1/19/2004	2/22/2016
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	9/15/2008	8/10/2009
Inactive	Allstate Indemnity Company	300778	Agent - General Lines	7/29/1994	8/15/2000
Inactive	Allstate Indemnity Company	300778	Agent - Property	9/15/2008	8/10/2009
Inactive	Allstate Insurance Company	300773	Agent - Casualty	9/15/2008	8/10/2009
Inactive	Allstate Insurance Company	300773	Agent - General Lines	7/19/1994	8/15/2000
Inactive	Allstate Insurance Company	300773	Agent - Property	9/15/2008	8/10/2009
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	9/15/2008	8/10/2009
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	9/15/2008	8/10/2009
Active	American Builders Insurance Company	677578	Agent - Casualty	6/22/2011
Active	American Builders Insurance Company	677578	Agent - Property	6/22/2011
Inactive	American Continental Insurance Company	643130	Agent - Health	8/29/2007	2/17/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	8/29/2007	12/6/2021
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Inactive	American Economy Insurance Company	300315	Agent - General Lines	11/1/1998	8/15/2000
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Active	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008
Active	American Fire and Casualty Company	300567	Agent - Property	10/7/2008
Inactive	American General Life Insurance Company	301585	Agent - Health	2/8/2023	7/9/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	2/8/2023	7/9/2024
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	2/8/2023	7/9/2024
Inactive	American Growers Insurance Company	300841	Agent - Casualty	8/15/2000	4/9/2002
Inactive	American Growers Insurance Company	300841	Agent - General Lines	3/14/1996	8/15/2000
Inactive	American Growers Insurance Company	300841	Agent - Property	8/15/2000	4/9/2002
Active	American Heritage Life Insurance Company	300272	Agent - Health	12/15/2000
Active	American Heritage Life Insurance Company	300272	Agent - Life	12/15/2000
Inactive	American Resources Insurance Company, Inc.	300454	Agent - Casualty	5/31/2001	4/23/2007
Inactive	American Resources Insurance Company, Inc.	300454	Agent - General Lines	5/23/1995	8/15/2000
Inactive	American Resources Insurance Company, Inc.	300454	Agent - Property	8/15/2000	4/23/2007
Inactive	American States Insurance Company	301230	Agent - Casualty	5/31/2001	2/5/2007
Inactive	American States Insurance Company	301230	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	2/5/2007
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	12/6/2004
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/11/1996	11/1/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/11/1996	11/1/1999
Inactive	Assurance Company of America	300432	Agent - Casualty	10/11/2002	12/28/2010
Inactive	Assurance Company of America	300432	Agent - General Lines	12/13/1995	3/31/1996
Inactive	Assurance Company of America	300432	Agent - Property	10/11/2002	12/28/2010
Inactive	Atlas Assurance Company of America	300634	Agent - General Lines	3/24/1997	3/31/1998
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	4/26/2016	5/23/2023
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	4/26/2016	5/23/2023
Active	Banner Life Insurance Company	301696	Agent - Life	10/2/2019
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	6/22/2010	11/2/2016
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	6/22/2010	11/2/2016
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Variable Life and Variable Annuities	6/22/2010	6/14/2016
Active	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	12/10/2002
Active	Brighthouse Life Insurance Company	301829	Agent - Health	11/14/2014
Active	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/1/2010	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/1/2010	12/20/2024
Inactive	BusinessFirst Insurance Company	722488	Agent - Casualty	12/10/2010	12/6/2019
Inactive	C.M. Life Insurance Company	301335	Agent - Health	5/14/2004	11/12/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	5/14/2004	11/12/2012
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	1/18/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	1/18/1996	3/31/1997
Active	Central Insurance Company	300965	Agent - Casualty	6/14/2022
Active	Central Insurance Company	300965	Agent - Property	6/14/2022
Inactive	Chase Insurance Life Company	301287	Agent - Life	6/10/2002	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	12/22/1995	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	12/22/1995	4/1/2007
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Health	10/18/2010
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	10/18/2010
Active	Citizens Security Life Insurance Company	301257	Agent - Health	6/5/2008
Active	Citizens Security Life Insurance Company	301257	Agent - Life	6/5/2008
Active	ClearPath Insurance Company	979815	Agent - Casualty	2/29/2024
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	7/7/2010
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	7/7/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/30/2012	12/5/2014
Inactive	Companion Life Insurance Company	300191	Agent - Health	1/23/2007	7/1/2018
Inactive	Companion Life Insurance Company	300191	Agent - Life	1/23/2007	7/1/2018
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	4/7/2003
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	4/7/2003
Inactive	Conseco Insurance Company	301202	Agent - Health	11/30/2004	10/1/2009
Inactive	Conseco Insurance Company	301202	Agent - Life	11/30/2004	10/1/2009
Inactive	Conseco Insurance Company	301202	Agent - Variable Life and Variable Annuities	11/30/2004	10/1/2009
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	7/10/1996	7/1/2003
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	7/10/1996	7/1/2003
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	5/31/2001	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	2/23/1998	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	4/26/2024
Inactive	Continental General Insurance Company	300691	Agent - Health	10/20/2000	11/5/2001
Inactive	Continental General Insurance Company	300691	Agent - Life	10/20/2000	11/5/2001
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/6/2006	12/11/2008
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	11/6/2006	12/11/2008
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	2/21/2018	6/15/2022
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/23/2007	12/16/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/5/2014
Active	EMC National Life Company	300388	Agent - Health	4/4/2018
Active	EMC National Life Company	300388	Agent - Life	4/4/2018
Active	EMC Property & Casualty Company	955217	Agent - Casualty	5/12/2021
Active	EMC Property & Casualty Company	955217	Agent - Property	5/12/2021
Active	EMCASCO Insurance Company	842790	Agent - Casualty	2/12/2015
Active	EMCASCO Insurance Company	842790	Agent - Property	2/12/2015
Active	Employers Mutual Casualty Company	300202	Agent - Casualty	1/26/2009
Active	Employers Mutual Casualty Company	300202	Agent - Property	1/26/2009
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	9/8/2008	7/20/2009
Inactive	Encompass Indemnity Company	546376	Agent - Property	9/8/2008	7/20/2009
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	1/2/2008	12/9/2010
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	1/2/2008	12/9/2010
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Casualty	8/12/2011	6/1/2021
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Property	8/12/2011	6/1/2021
Inactive	Everlake Life Insurance Company	300873	Agent - Health	9/15/2008	8/10/2009
Inactive	Everlake Life Insurance Company	300873	Agent - Life	9/15/2008	8/10/2009
Active	FCCI Insurance Company	557454	Agent - Casualty	1/6/2017
Active	FCCI Insurance Company	557454	Agent - Property	1/6/2017
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	5/7/1997	8/15/2000
Inactive	First Colony Life Insurance Company	301179	Agent - Health	8/3/2006	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	8/3/2006	1/1/2007
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	4/26/2024
Inactive	First National Insurance Company of America	301690	Agent - General Lines	9/27/1995	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	4/26/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/27/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/27/2004
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	7/15/2013	8/22/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	7/15/2013	8/22/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	7/15/2013	3/4/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	7/15/2013	3/4/2014
Active	General Insurance Company of America	300261	Agent - Casualty	10/7/2008
Inactive	General Insurance Company of America	300261	Agent - General Lines	9/27/1995	8/15/2000
Active	General Insurance Company of America	300261	Agent - Property	10/7/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Health	12/9/2008	9/18/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	12/9/2008	9/18/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/7/2012
Active	Gerber Life Insurance Company	300529	Agent - Health	2/5/2024
Active	Gerber Life Insurance Company	300529	Agent - Life	2/5/2024
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	10/11/2002	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	10/11/2002	11/30/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/20/1995	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/20/1995	11/10/2008
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	7/15/2010	12/17/2012
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	7/15/2010	12/17/2012
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Variable Life and Variable Annuities	7/15/2010	12/17/2012
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	2/24/2017
Active	Grange Indemnity Insurance Company	300793	Agent - Property	2/24/2017
Active	Grange Insurance Company	300234	Agent - Casualty	2/24/2017
Active	Grange Insurance Company	300234	Agent - Property	2/24/2017
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/24/2017
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/24/2017
Inactive	Greenwich Insurance Company	301754	Agent - Casualty	5/31/2001	2/21/2005
Inactive	Greenwich Insurance Company	301754	Agent - General Lines	7/23/1997	8/15/2000
Inactive	Greenwich Insurance Company	301754	Agent - Property	8/15/2000	2/21/2005
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	1/26/2009	12/15/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	1/26/2009	12/15/2017
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Casualty	7/20/2010	5/1/2012
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Property	7/20/2010	5/1/2012
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	5/2/2016	9/26/2019
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	5/2/2016	9/26/2019
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	5/20/2011	12/17/2014
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	5/20/2011	12/17/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	5/23/2011	12/17/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	5/23/2011	12/17/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	5/2/2016	12/13/2017
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	5/2/2016	12/13/2017
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/18/2008	11/16/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/18/2008	11/16/2011
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	1/29/2020	7/21/2023
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	1/29/2020	7/21/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/28/2004	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/3/2005	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Life	10/3/2005	8/14/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/28/2004	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/28/2004	12/5/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/30/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/30/2012	12/19/2012
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	10/19/1998	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Casualty	5/31/2001	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - General Lines	2/23/1998	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	2/3/2023
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	2/23/1995	8/15/2000
Inactive	John Alden Life Insurance Company	300573	Agent - Health	9/15/2007	12/29/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	9/15/2007	12/29/2010
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	5/4/2021	10/8/2023
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	5/4/2021	10/8/2023
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	5/1/2002	6/8/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/30/2012	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/30/2012	12/5/2014
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	11/11/2013	10/29/2015
Active	Kentucky League of Cities Insurance Services Association	300026	Agent - Casualty	12/3/2001
Active	Kentucky League of Cities Insurance Services Association	300026	Agent - Property	12/3/2001
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	2/13/2004	8/15/2008
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	2/13/2004	8/15/2008
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	2/13/2004	9/12/2008
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/28/2016
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/28/2016
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	4/28/2016
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/11/2007	12/7/2010
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	10/11/2007	12/7/2010
Active	MICO Insurance Company	301664	Agent - Casualty	10/9/2023
Active	MICO Insurance Company	301664	Agent - Property	10/9/2023
Active	Markel Insurance Company	301475	Agent - Casualty	4/23/2012
Active	Markel Insurance Company	301475	Agent - Health	4/23/2012
Active	Markel Insurance Company	301475	Agent - Property	4/23/2012
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/11/2002	12/28/2010
Inactive	Maryland Casualty Company	301719	Agent - General Lines	12/13/1995	3/31/1996
Inactive	Maryland Casualty Company	301719	Agent - Property	10/11/2002	12/28/2010
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	5/14/2004	11/12/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	5/14/2004	11/12/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	6/14/2007	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	6/14/2007	11/14/2014
Active	Metropolitan Life Insurance Company	301948	Agent - Health	12/5/2012
Active	Metropolitan Life Insurance Company	301948	Agent - Life	12/5/2012
Inactive	Midland National Life Insurance Company	300923	Agent - Health	7/12/2010	11/8/2017
Inactive	Midland National Life Insurance Company	300923	Agent - Life	7/12/2010	12/20/2012
Active	Milbank Insurance Company	925185	Agent - Casualty	10/5/2020
Active	Milbank Insurance Company	925185	Agent - Property	10/5/2020
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	4/18/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	4/18/2019
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	12/14/2012
Active	Motorists Mutual Insurance Company	300963	Agent - Property	12/14/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/13/2009	12/15/2011
Inactive	National Summit Insurance Company	300348	Agent - Casualty	8/15/2000	1/27/2004
Inactive	National Summit Insurance Company	300348	Agent - General Lines	5/7/1996	8/15/2000
Inactive	National Summit Insurance Company	300348	Agent - Property	8/15/2000	1/27/2004
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	1/22/2003
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	1/22/2003
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/1/2012	12/18/2019
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	5/1/2012	12/18/2019
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	5/31/2001	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	2/23/1998	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	4/26/2024
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/11/2002	12/28/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/11/2002	12/28/2010
Active	Nutmeg Insurance Company	751698	Agent - Casualty	6/14/2023
Active	Nutmeg Insurance Company	751698	Agent - Property	6/14/2023
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008
Active	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008
Active	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008
Active	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	6/7/2011	7/17/2012
Active	Pacific Life Insurance Company	301848	Agent - Life	10/14/2021
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008
Active	Peerless Insurance Company	301910	Agent - Casualty	5/31/2001
Inactive	Peerless Insurance Company	301910	Agent - General Lines	4/4/1996	8/15/2000
Active	Peerless Insurance Company	301910	Agent - Property	8/15/2000
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	2/20/2010
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	2/20/2010
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	2/24/1997	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	2/24/1997	10/23/2002
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	1/13/2003	12/14/2016
Inactive	Praetorian Insurance Company	301021	Agent - Property	1/13/2003	12/14/2016
Active	Principal National Life Insurance Company	301926	Agent - Life	1/17/2017
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	10/31/2017	12/10/2020
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	10/31/2017	12/10/2020
Active	Protective Life Insurance Company	300638	Agent - Health	6/28/2020
Active	Protective Life Insurance Company	300638	Agent - Life	6/28/2020
Active	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	6/28/2020
Inactive	Providence Washington Insurance Company	301160	Agent - General Lines	4/20/1995	3/24/1997
Inactive	Pruco Life Insurance Company	300954	Agent - Health	7/19/2007	12/22/2016
Active	Pruco Life Insurance Company	300954	Agent - Life	10/11/2022
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	9/27/2002	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	9/27/2002	9/3/2004
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	1/30/2007
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	1/30/2007
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	9/27/1995	8/15/2000
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	9/27/1995	8/15/2000
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008
Inactive	SAFECO National Insurance Company	300989	Agent - Casualty	5/31/2001	12/6/2004
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	9/27/1995	8/15/2000
Inactive	SAFECO National Insurance Company	300989	Agent - Property	8/15/2000	12/6/2004
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	5/2/2016	12/6/2018
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	5/2/2016	12/6/2018
Active	Standard Insurance Company	300185	Agent - Health	12/17/2024
Active	Standard Insurance Company	300185	Agent - Life	12/17/2024
Active	Standard Insurance Company	300185	Agent - Variable Life and Variable Annuities	12/17/2024
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	8/21/2000	2/15/2017
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	8/21/2000	2/15/2017
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	3/6/2020
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020
Inactive	State Life Insurance Company	301497	Agent - Health	3/18/2003	1/31/2007
Inactive	State Life Insurance Company	301497	Agent - Life	3/18/2003	1/31/2007
Inactive	State Mutual Insurance Company	300359	Agent - Health	8/17/2016	11/28/2018
Inactive	Symetra Life Insurance Company	301691	Agent - Health	8/25/2021	11/15/2023
Inactive	Symetra Life Insurance Company	301691	Agent - Life	8/25/2021	11/15/2023
Inactive	Symetra Life Insurance Company	301691	Agent - Variable Life and Variable Annuities	8/25/2021	11/15/2023
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	6/6/2007	11/16/2011
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	6/6/2007	11/16/2011
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	6/6/2007	11/23/2012
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	6/6/2007	11/23/2012
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	1/6/2010	7/21/2011
Inactive	Time Insurance Company	300683	Agent - Health	5/30/2014	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	5/30/2014	12/20/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/15/2014	4/25/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/15/2014	4/25/2017
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	4/18/2013	12/17/2014
Inactive	Trumbull Insurance Company	300242	Agent - Property	4/18/2013	12/17/2014
Active	Trustgard Insurance Company	300104	Agent - Casualty	2/24/2017
Active	Trustgard Insurance Company	300104	Agent - Property	2/24/2017
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	5/9/2017	12/18/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	5/9/2017	12/18/2019
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	9/12/1995	3/31/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	3/2/2006	9/26/2007
Inactive	Union Bankers Insurance Company	301769	Agent - Health	2/8/1995	3/31/1997
Inactive	Union Bankers Insurance Company	301769	Agent - Life	2/8/1995	3/31/1997
Active	Union Insurance Company of Providence	842791	Agent - Casualty	2/12/2015
Active	Union Insurance Company of Providence	842791	Agent - Property	2/12/2015
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	7/14/2006	11/28/2007
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	7/14/2006	11/28/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/23/2022	2/22/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/23/2022	2/22/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Variable Life and Variable Annuities	8/13/2009	12/15/2011
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/9/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	8/9/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/7/2011	2/6/2014
Inactive	Washington National Insurance Company	300587	Agent - Health	5/15/1997	3/8/2005
Inactive	Washington National Insurance Company	300587	Agent - Life	5/15/1997	3/8/2005
Active	West American Insurance Company	301112	Agent - Casualty	10/7/2008
Active	West American Insurance Company	301112	Agent - Property	10/7/2008
Inactive	West Bend Insurance Company	672974	Agent - Casualty	12/2/2011	9/9/2021
Inactive	West Bend Insurance Company	672974	Agent - Property	12/2/2011	9/9/2021
Inactive	West Coast Life Insurance Company	301607	Agent - Health	4/10/2008	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	4/10/2008	11/16/2011
Inactive	Western Surety Company	300283	Agent - General Lines	4/19/1995	9/15/1997
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	3/8/1999	12/30/2004
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	2/23/1995	8/15/2000
Inactive		300277	Agent - Life	3/22/2006	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	B.R.& W. Insurance Corp	399500	Agent - Life	3/14/1995	3/31/2023
Inactive	B.R.& W. Insurance Corp	399500	Agent - Health	3/14/1995	3/31/2023
Active	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Life	3/2/2016
Active	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Health	3/2/2016
Active	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Property	3/2/2016
Active	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Casualty	3/2/2016
Inactive	Clarke Management Group LLC	399650	Agent - General Lines	6/13/1997	8/15/2000
Inactive	Clarke Management Group LLC	399650	Agent - Life	6/13/1997	3/31/2016
Inactive	Clarke Management Group LLC	399650	Agent - Health	6/13/1997	3/31/2016
Inactive	Clarke Management Group LLC	399650	Agent - Property	8/15/2000	3/31/2016
Inactive	Clarke Management Group LLC	399650	Agent - Casualty	8/15/2000	3/31/2016
Active	Dental Choice Agency Inc.	398085	Agent - Health	5/7/2002
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	2/13/2025
Inactive	Education Risk Solutions LLC	804299	Agent - Property	8/25/2021	3/31/2023
Inactive	Education Risk Solutions LLC	804299	Agent - Casualty	8/25/2021	3/31/2023
Active	Keystone Ins & Benefits Group LLC	716920	Agent - Life	10/6/2011
Active	Keystone Ins & Benefits Group LLC	716920	Agent - Health	10/6/2011
Inactive	Medlink Inc	400721	Agent - Life	9/27/2007	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	9/27/2007	3/31/2024
Inactive	Moore Insurance Agency LLC	398304	Agent - General Lines	9/3/1997	8/15/2000
Inactive	Moore Insurance Agency LLC	398304	Agent - Life	6/18/2001	8/25/2008
Inactive	Moore Insurance Agency LLC	398304	Agent - Health	6/18/2001	8/25/2008
Inactive	Moore Insurance Agency LLC	398304	Agent - Property	6/18/2001	8/25/2008
Inactive	Moore Insurance Agency LLC	398304	Agent - Casualty	6/18/2001	8/25/2008
Active	Planchoice Inc.	400482	Agent - Life	3/19/2003
Active	Planchoice Inc.	400482	Agent - Health	3/19/2003
Active	Wealth Preservation & Management Inc	562345	Agent - Life	8/11/2010
Active	Wealth Preservation & Management Inc	562345	Agent - Health	10/15/2010