DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Michelle	DOIID	331807	NAIC NPN	1916906

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	7/31/2008
Inactive	Non Resident	Agent	Property	8/15/2000	7/31/2008
Inactive	Non Resident	Agent	Personal Lines	9/8/2014	5/25/2016
Inactive	Non Resident	Agent	General Lines	10/13/1998	8/15/2000
Active	Non Resident	Staff Adjuster	Property & Casualty	12/9/2016		7/31/2026
* 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
Staff Adjuster	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	8/15/2000	4/18/2008
Inactive	Progressive Direct Insurance Company	301379	Agent - General Lines	6/1/1999	8/15/2000
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	8/15/2000	4/18/2008
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	10/13/1998	12/27/1999
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/25/2007	4/18/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/25/2007	4/18/2008
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	9/12/2014	5/25/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	7/5/2007	4/18/2008
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	7/5/2007	4/18/2008
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Personal Lines	9/15/2014	5/25/2016