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.

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