DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Barry Gordon	DOIID	353358	NAIC NPN	7002961

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	3/20/1997	10/31/2025
Active	Resident	Agent	Life	3/20/1997	10/31/2025
Active	Resident	Agent	Casualty	6/23/2009	10/31/2025
Active	Resident	Agent	Property	1/2/2002	10/31/2025
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/5/2019
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/5/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/9/2017	4/13/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/9/2017	4/13/2023
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	6/24/2008	9/30/2009
Inactive	American National Insurance Company	301861	Agent - Health	6/23/2005	11/20/2009
Inactive	American National Insurance Company	301861	Agent - Life	6/23/2003	11/20/2009
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	6/21/2000	3/23/2012
Inactive	Athene Annuity and Life Company	301893	Agent - Life	6/13/2016	11/29/2021
Active	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	4/4/2019
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/20/2017	8/29/2018
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/20/2017	8/29/2018
Active	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	2/22/2022
Active	Celina Mutual Insurance Company (The)	301908	Agent - Property	2/22/2022
Active	ClearPath Insurance Company	979815	Agent - Casualty	2/29/2024
Inactive	Continental General Insurance Company	300691	Agent - Health	7/17/2000	1/7/2002
Inactive	Continental General Insurance Company	300691	Agent - Life	7/17/2000	1/7/2002
Active	EMC Property & Casualty Company	955217	Agent - Casualty	6/4/2021
Active	EMC Property & Casualty Company	955217	Agent - Property	6/4/2021
Active	EMCASCO Insurance Company	842790	Agent - Casualty	6/4/2021
Active	EMCASCO Insurance Company	842790	Agent - Property	6/4/2021
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	5/28/2021
Active	Employers Insurance Company of Wausau	301813	Agent - Property	5/28/2021
Active	Employers Mutual Casualty Company	300202	Agent - Casualty	6/4/2021
Active	Employers Mutual Casualty Company	300202	Agent - Property	6/4/2021
Inactive	Encova Life Insurance Company	301818	Agent - Life	8/22/2022	1/1/2024
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	8/29/2014	8/2/2021
Active	First Benefits Insurance Mutual, Inc.	1090183	Agent - Casualty	8/6/2021
Inactive	First Colony Life Insurance Company	301179	Agent - Health	2/16/1999	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	2/16/1999	7/19/2004
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	5/28/2021
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	5/28/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/20/2017	8/29/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/20/2017	8/29/2018
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	8/3/2000	12/5/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	8/3/2000	12/5/2007
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	5/8/1998	12/31/1998
Denied	Independent Mutual Fire Insurance Company	300851	Agent - Casualty
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	1/2/2002	7/14/2014
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	2/27/2002	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	2/27/2002	4/2/2007
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	10/16/2017	6/29/2018
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	10/16/2017	6/29/2018
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	10/16/2017	6/29/2018
Active	LM Insurance Corporation	301061	Agent - Casualty	5/28/2021
Active	LM Insurance Corporation	301061	Agent - Property	5/28/2021
Active	Liberty Insurance Corporation	300444	Agent - Casualty	5/28/2021
Active	Liberty Insurance Corporation	300444	Agent - Property	5/28/2021
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	5/28/2021
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	5/28/2021
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/2/2007	8/12/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/2/2007	8/12/2010
Active	MICO Insurance Company	301664	Agent - Casualty	8/17/2021
Active	MICO Insurance Company	301664	Agent - Property	8/17/2021
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	5/3/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	5/3/2019
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	5/3/2019
Active	Motorists Mutual Insurance Company	300963	Agent - Property	5/3/2019
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	1/6/2016	5/7/2018
Active	NorthStone Insurance Company	818905	Agent - Casualty	4/4/2019
Active	Pan-American Life Insurance Company	301530	Agent - Life	1/1/2024
Active	PinnaclePoint Insurance Company	819085	Agent - Casualty	4/4/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/29/2009	1/2/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/29/2009	1/2/2019
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	10/16/2017	6/29/2018
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	10/16/2017	6/29/2018
Active	SummitPoint Insurance Company	819084	Agent - Casualty	4/4/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/13/2010	5/24/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/13/2010	5/24/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/30/2006	5/24/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/30/2006	5/24/2017
Active	Union Insurance Company of Providence	842791	Agent - Casualty	6/4/2021
Active	Union Insurance Company of Providence	842791	Agent - Property	6/4/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	11/14/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/14/2017	4/13/2023
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	10/11/2017	6/29/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	10/16/2017	6/29/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	10/11/2017	6/29/2018
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	10/11/2017	6/29/2018
Active	Peoples Insurance Agency LLC	517977	Agent - Life	4/3/2019
Inactive	Peoples Insurance Agency LLC	517977	Agent - Health	4/3/2019	4/13/2023
Active	Peoples Insurance Agency LLC	517977	Agent - Property	4/5/2019
Active	Peoples Insurance Agency LLC	517977	Agent - Casualty	4/4/2019
Active	Southern Capital Brokerage Co LLC	577403	Agent - Life	11/7/2017
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Health	11/7/2017	4/13/2023
Active	United Financial Services Inc	400566	Agent - Life	7/28/2009
Inactive	United Financial Services Inc	400566	Agent - Health	7/28/2009	5/24/2017
Inactive	United Financial Services Inc	400566	Agent - Property	7/28/2009	1/2/2019
Inactive	United Financial Services Inc	400566	Agent - Casualty	7/29/2009	1/2/2019