DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Carl Richard	DOIID	344740	NAIC NPN	3024581

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	8/15/2000		4/30/2027
Active	Resident	Agent	Life	7/16/1969		4/30/2027
Active	Resident	Agent	Casualty	8/15/2000		4/30/2027
Active	Resident	Agent	Health	7/16/1969		4/30/2027
Inactive	Resident	Agent	General Lines	4/1/1971	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
Inactive	1st Choice Advantage Insurance Company, Inc.	750782	Agent - Casualty	8/15/2011	4/1/2016
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	3/18/2002	10/7/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/18/2002	10/7/2011
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	7/11/2003	10/18/2023
Inactive	Allstate Indemnity Company	300778	Agent - Property	7/11/2003	10/18/2023
Inactive	Allstate Insurance Company	300773	Agent - Casualty	7/11/2003	10/18/2023
Inactive	Allstate Insurance Company	300773	Agent - Property	7/11/2003	10/18/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	10/18/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	10/18/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/18/2014	10/18/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/18/2014	10/18/2023
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	12/2/2004
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	12/2/2004
Active	American Economy Insurance Company	300315	Agent - Casualty	10/24/2022
Active	American Economy Insurance Company	300315	Agent - Property	10/24/2022
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/15/2011
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/15/2011
Active	American Fire and Casualty Company	300567	Agent - Casualty	10/12/2004
Active	American Fire and Casualty Company	300567	Agent - Property	10/12/2004
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	10/18/2002	3/18/2010
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	10/18/2002	3/18/2010
Active	American Heritage Life Insurance Company	300272	Agent - Health	11/27/2000
Active	American Heritage Life Insurance Company	300272	Agent - Life	11/27/2000
Inactive	American Resources Insurance Company, Inc.	300454	Agent - Casualty	8/15/2000	4/23/2007
Inactive	American Resources Insurance Company, Inc.	300454	Agent - Property	8/15/2000	4/23/2007
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	10/18/2002	3/18/2010
Inactive	American Zurich Insurance Company	300592	Agent - Property	10/18/2002	3/18/2010
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	8/8/2003	7/2/2004
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/8/2003	7/2/2004
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/11/1993	8/21/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/11/1993	8/21/2000
Inactive	Assurance Company of America	300432	Agent - Casualty	2/5/2001	3/18/2010
Inactive	Assurance Company of America	300432	Agent - Property	2/5/2001	3/18/2010
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	6/28/1994	12/17/1998
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	6/28/1994	12/17/1998
Inactive	C.M. Life Insurance Company	301335	Agent - Health	10/26/2001	11/8/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	10/26/2001	11/8/2012
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	10/18/2002	3/18/2010
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	10/18/2002	3/18/2010
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	4/26/2024
Inactive	Continental Casualty Company	301019	Agent - Casualty	5/8/2001	12/2/2004
Inactive	Continental Casualty Company	301019	Agent - Property	5/8/2001	12/2/2004
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/7/2014	4/16/2016
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Casualty	8/15/2011	4/1/2016
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Property	8/15/2011	4/1/2016
Inactive	Everlake Life Insurance Company	300873	Agent - Health	7/11/2003	10/18/2023
Inactive	Everlake Life Insurance Company	300873	Agent - Life	7/11/2003	10/18/2023
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	7/16/1969	12/20/2012
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/16/1969	3/24/2006
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Casualty	8/15/2000	12/27/2001
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Property	8/15/2000	12/27/2001
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	10/18/2002	3/18/2010
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	10/18/2002	3/18/2010
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	10/3/2000	12/7/2006
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Property	10/3/2000	12/7/2006
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Casualty	10/3/2000	12/7/2006
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Property	10/3/2000	12/7/2006
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	2/4/1997	3/31/1998
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	10/15/2021
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	10/15/2021
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	10/15/2021
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	10/15/2021
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	2/5/2001	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	2/5/2001	11/30/2007
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	2/4/1997	3/31/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/11/1986	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/11/1986	3/31/1997
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	1/30/2018
Active	Grange Indemnity Insurance Company	300793	Agent - Property	1/30/2018
Active	Grange Insurance Company	300234	Agent - Casualty	1/30/2018
Active	Grange Insurance Company	300234	Agent - Property	1/30/2018
Inactive	Grange Life Insurance Company	300128	Agent - Health	1/30/2018	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	1/30/2018	12/28/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	1/30/2018
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	1/30/2018
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	10/4/2007	2/14/2014
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	10/4/2007	2/14/2014
Inactive	Great American Insurance Company	301586	Agent - Casualty	10/4/2007	2/14/2014
Inactive	Great American Insurance Company	301586	Agent - Property	10/4/2007	2/14/2014
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	10/4/2007	2/14/2014
Inactive	Great American Insurance Company of New York	301897	Agent - Property	10/4/2007	2/14/2014
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	2/4/2004	1/16/2013
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	2/4/2004	1/16/2013
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	2/4/2004	1/16/2013
Inactive	GuideOne Insurance Company	301794	Agent - Property	2/4/2004	1/16/2013
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	2/4/2004	1/16/2013
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	2/4/2004	1/16/2013
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	9/30/2004	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	9/30/2004	12/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/30/2004	12/7/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/30/2004	12/7/2009
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - Casualty	8/15/2000	5/14/2024
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - Property	8/15/2000	5/14/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/28/2005	4/16/2016
Inactive	Humana Insurance Company	301104	Agent - Health	11/28/2005	7/31/2014
Inactive	Humana Insurance Company	301104	Agent - Life	11/28/2005	7/31/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/28/2005	7/31/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/28/2005	7/31/2014
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	2/3/2023
Inactive	Infinity Insurance Company	300416	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Insurance Company	300416	Agent - General Lines	3/16/1994	8/15/2000
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	5/24/1999	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	5/24/1999	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	10/22/2001	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	10/22/2001	4/2/2007
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	3/26/1979	3/31/1998
Active	Kansas City Life Insurance Company	301444	Agent - Life	5/1/2019
Active	Kentucky Home Life Insurance Company	300477	Agent - Health	10/14/2010
Active	Kentucky Home Life Insurance Company	300477	Agent - Life	10/14/2010
Active	Kentucky League of Cities Insurance Services Association	300026	Agent - Casualty	8/15/2000
Active	Kentucky League of Cities Insurance Services Association	300026	Agent - Property	8/15/2000
Active	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000
Active	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000
Inactive	Keystone National Insurance Company	745173	Agent - Casualty	4/4/2017	4/20/2023
Inactive	Keystone National Insurance Company	745173	Agent - Property	4/4/2017	4/20/2023
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	7/7/2003	7/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	7/7/2003	7/14/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/22/2007	7/7/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/22/2007	7/7/2008
Inactive	Maryland Casualty Company	301719	Agent - Casualty	2/5/2001	3/18/2010
Inactive	Maryland Casualty Company	301719	Agent - Property	2/5/2001	3/18/2010
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	10/26/2001	11/8/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	10/26/2001	11/8/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/11/1995	11/17/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/11/1995	11/17/2008
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	12/2/2004
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	4/25/1997	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	12/2/2004
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	4/26/2024
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	2/5/2001	3/18/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	2/5/2001	3/18/2010
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/12/2004
Active	Ohio Casualty Insurance Company	301492	Agent - Property	10/12/2004
Active	Ohio Security Insurance Company	300622	Agent - Casualty	10/12/2004
Active	Ohio Security Insurance Company	300622	Agent - Property	10/12/2004
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	5/8/2025
Active	Principal Life Insurance Company	300129	Agent - Health	2/24/2010
Active	Principal Life Insurance Company	300129	Agent - Life	2/24/2010
Inactive	Redland Insurance Company	300687	Agent - Casualty	8/15/2000	12/13/2002
Inactive	Redland Insurance Company	300687	Agent - General Lines	8/8/1989	8/15/2000
Inactive	Redland Insurance Company	300687	Agent - Property	8/15/2000	12/13/2002
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	6/21/1999	8/15/2000
Active	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/2/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/2/2022
Inactive	Seaboard Surety Company	300510	Agent - Casualty	10/3/2000	12/7/2006
Inactive	Seaboard Surety Company	300510	Agent - Property	10/3/2000	12/7/2006
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	8/2/2006	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	8/2/2006	10/24/2007
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	10/3/2000	12/7/2006
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	10/3/2000	12/7/2006
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	10/3/2000	12/7/2006
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	10/3/2000	12/7/2006
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	10/3/2000	12/7/2006
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	10/3/2000	12/7/2006
Inactive	St. Paul Protective Insurance Company	301215	Agent - Casualty	10/3/2000	4/21/2003
Inactive	St. Paul Protective Insurance Company	301215	Agent - Property	10/3/2000	4/21/2003
Inactive	Standard Insurance Company	300185	Agent - Health	3/6/2007	12/31/2013
Inactive	Standard Insurance Company	300185	Agent - Life	3/6/2007	12/31/2013
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	3/11/2020	6/28/2022
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	3/11/2020	6/28/2022
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	12/2/2004
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	2/5/1997	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	12/2/2004
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	12/2/2004
Inactive	Transportation Insurance Company	301575	Agent - General Lines	2/1/1997	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	12/2/2004
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	9/7/2004	9/7/2006
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	9/7/2004	9/7/2006
Active	Trustgard Insurance Company	300104	Agent - Casualty	1/30/2018
Active	Trustgard Insurance Company	300104	Agent - Property	1/30/2018
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	10/3/2000	12/7/2006
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	10/3/2000	12/7/2006
Inactive	Universal Underwriters Insurance Company	301558	Agent - General Lines	5/30/1997	4/28/1999
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	12/2/2004
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	2/3/1997	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	12/2/2004
Active	West American Insurance Company	301112	Agent - Casualty	10/12/2004
Active	West American Insurance Company	301112	Agent - Property	10/12/2004
Inactive	West Bend Insurance Company	672974	Agent - Casualty	11/17/2011	12/28/2017
Inactive	West Bend Insurance Company	672974	Agent - Property	11/17/2011	12/28/2017
Active	Western Surety Company	300283	Agent - Casualty	8/15/2000
Inactive	Western Surety Company	300283	Agent - General Lines	9/23/1994	8/15/2000
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	10/18/2002	3/18/2010
Inactive	Zurich American Insurance Company	301121	Agent - Property	10/18/2002	3/18/2010
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/18/2002	3/18/2010
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/18/2002	3/18/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/25/1996	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	6/21/2008
Inactive	Commonwealth Central Insurance, LLC	661011	Agent - Life	7/25/2007	1/6/2012
Inactive	Commonwealth Central Insurance, LLC	661011	Agent - Health	7/25/2007	1/6/2012
Inactive	Commonwealth Central Insurance, LLC	661011	Agent - Property	7/25/2007	1/6/2012
Inactive	Commonwealth Central Insurance, LLC	661011	Agent - Casualty	7/25/2007	1/6/2012
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/3/2005	7/22/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/3/2013	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/3/2013	2/13/2025
Inactive	Gorman Clark Insurance LLC	636381	Agent - Life	7/27/2006	3/1/2007
Inactive	Gorman Clark Insurance LLC	636381	Agent - Health	7/27/2006	3/1/2007
Inactive	Gorman Clark Insurance LLC	636381	Agent - Property	7/27/2006	3/1/2007
Inactive	Gorman Clark Insurance LLC	636381	Agent - Casualty	7/27/2006	3/1/2007
Active	Hall & Clark Insurance Agency Inc.	399717	Agent - Life	3/31/1982
Active	Hall & Clark Insurance Agency Inc.	399717	Agent - Health	3/31/1982
Active	Hall & Clark Insurance Agency Inc.	399717	Agent - Property	8/15/2000
Active	Hall & Clark Insurance Agency Inc.	399717	Agent - Casualty	8/15/2000
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	United Agency Of Kentucky Llc	401115	Agent - General Lines	4/6/1999	8/15/2000
Inactive	United Agency Of Kentucky Llc	401115	Agent - Property	8/15/2000	4/15/2016
Inactive	United Agency Of Kentucky Llc	401115	Agent - Casualty	8/15/2000	4/15/2016