DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Michelle Lynn	DOIID	319395	NAIC NPN	7167499

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		9/30/2026
Active	Resident	Agent	Life	3/17/1999		9/30/2026
Active	Resident	Agent	Property	8/15/2000		9/30/2026
Active	Resident	Agent	Health	3/17/1999		9/30/2026
Inactive	Resident	Agent	General Lines	3/3/1999	8/15/2000
* 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	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024	07/15/2024	07/15/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	7/23/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	7/23/2020
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/20/2018	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/20/2018	11/14/2021
Active	American Strategic Insurance Corp	883540	Agent - Casualty	7/2/2020
Active	American Strategic Insurance Corp	883540	Agent - Property	7/2/2020
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Casualty	8/15/2000	6/17/2005
Inactive	Beazley Insurance Company, Inc.	300899	Agent - General Lines	5/2/2000	8/15/2000
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Property	8/15/2000	6/17/2005
Active	Bristol West Insurance Company	301655	Agent - Casualty	6/8/2021
Active	Bristol West Insurance Company	301655	Agent - Property	6/8/2021
Active	Dairyland Insurance Company	301370	Agent - Casualty	2/2/2006
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/8/2010
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/8/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/8/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	5/31/2007	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	5/31/2007	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/31/2007	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/31/2007	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/31/2007	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/31/2007	9/8/2010
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	8/6/2009	11/4/2011
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	8/6/2009	11/4/2011
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/11/2005
Active	Progressive Casualty Insurance Company	300696	Agent - Property	11/11/2005
Active	Progressive Northern Insurance Company	301378	Agent - Casualty	5/31/2017
Active	Progressive Northern Insurance Company	301378	Agent - Property	5/31/2017
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	10/6/2009	10/26/2016
Inactive	Sagamore Insurance Company	300942	Agent - Property	10/6/2009	10/26/2016
Active	Shelter General Insurance Company	301109	Agent - Casualty	8/15/2000
Inactive	Shelter General Insurance Company	301109	Agent - General Lines	3/3/1999	8/15/2000
Active	Shelter General Insurance Company	301109	Agent - Property	8/15/2000
Active	Shelter Life Insurance Company	300391	Agent - Health	3/17/1999
Active	Shelter Life Insurance Company	300391	Agent - Life	3/17/1999
Active	Shelter Mutual Insurance Company	301870	Agent - Casualty	8/15/2000
Inactive	Shelter Mutual Insurance Company	301870	Agent - General Lines	3/3/1999	8/15/2000
Active	Shelter Mutual Insurance Company	301870	Agent - Property	8/15/2000
Active	United Financial Casualty Company	301886	Agent - Casualty	11/2/2016
Active	United Financial Casualty Company	301886	Agent - Property	11/2/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Daniel Boone Agency, LLC.	515760	Agent - Life	4/19/2001
Active	Daniel Boone Agency, LLC.	515760	Agent - Health	4/19/2001
Active	Daniel Boone Agency, LLC.	515760	Agent - Property	8/15/2000
Active	Daniel Boone Agency, LLC.	515760	Agent - Casualty	8/15/2000
Inactive	Medlink Inc	400721	Agent - Life	6/8/2007	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	6/8/2007	3/31/2024