DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Nicholas Ross	DOIID	366025	NAIC NPN	7198490

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	4/30/2024		4/30/2027
Active	Resident	Agent	Casualty	4/30/2024		4/30/2027
Inactive	Resident	Agent	General Lines	11/30/1998	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	02/15/2027	04/30/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	12/26/2013	11/8/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	12/26/2013	11/8/2022
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	8/15/2000	6/30/2001
Inactive	AmTrust Insurance Company	300179	Agent - General Lines	7/29/1999	8/15/2000
Inactive	AmTrust Insurance Company	300179	Agent - Property	8/15/2000	6/30/2001
Inactive	American Economy Insurance Company	300315	Agent - Casualty	7/11/2022	4/30/2023
Inactive	American Economy Insurance Company	300315	Agent - Property	7/11/2022	4/30/2023
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	6/16/2004	4/30/2023
Inactive	American Fire and Casualty Company	300567	Agent - Property	6/16/2004	4/30/2023
Inactive	American Select Insurance Company	301229	Agent - Casualty	7/29/2003	8/26/2009
Inactive	American Select Insurance Company	301229	Agent - Property	7/29/2003	8/26/2009
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	7/29/2003	12/7/2006
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	7/29/2003	12/7/2006
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	6/14/2005	4/30/2023
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	1/22/2012	4/30/2023
Inactive	Consolidated Insurance Company	300943	Agent - Property	1/22/2012	4/30/2023
Active	Continental Casualty Company	301019	Agent - Casualty	11/11/2025
Active	Continental Casualty Company	301019	Agent - Property	11/11/2025
Active	EMC Property & Casualty Company	955217	Agent - Casualty	11/25/2025
Active	EMC Property & Casualty Company	955217	Agent - Property	11/25/2025
Active	EMCASCO Insurance Company	842790	Agent - Casualty	11/25/2025
Active	EMCASCO Insurance Company	842790	Agent - Property	11/25/2025
Active	Employers Mutual Casualty Company	300202	Agent - Casualty	11/25/2025
Active	Employers Mutual Casualty Company	300202	Agent - Property	11/25/2025
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	11/28/2012	4/30/2023
Inactive	Encompass Indemnity Company	546376	Agent - Property	11/28/2012	4/30/2023
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	11/28/2012	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	11/28/2012	12/13/2018
Inactive	Farmington Casualty Company	301137	Agent - Casualty	6/18/2001	12/27/2002
Inactive	Farmington Casualty Company	301137	Agent - Property	6/18/2001	12/27/2002
Inactive	Grange Indemnity Insurance Company	300793	Agent - General Lines	12/31/1998	8/15/2000
Inactive	Grange Insurance Company	300234	Agent - General Lines	11/30/1998	8/15/2000
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	7/29/2003	12/15/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	7/29/2003	12/15/2017
Active	Illinois Emcasco Insurance Company	522012	Agent - Casualty	2/9/2026
Active	Illinois Emcasco Insurance Company	522012	Agent - Property	2/9/2026
Inactive	Indiana Insurance Company	301909	Agent - Casualty	1/22/2012	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	1/22/2012	2/3/2023
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	7/29/2003	4/30/2023
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	8/4/1999	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	7/29/2003	4/30/2023
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	1/22/2012	4/30/2023
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	1/22/2012	4/30/2023
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	7/29/2003	4/30/2023
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	2/23/1999	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	7/29/2003	4/30/2023
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	7/29/2003	8/26/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	7/29/2003	8/26/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	6/16/2004	4/30/2023
Inactive	Ohio Security Insurance Company	300622	Agent - Property	6/16/2004	4/30/2023
Active	Old Guard Insurance Company	533854	Agent - Casualty	7/10/2026
Active	Old Guard Insurance Company	533854	Agent - Property	7/10/2026
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	1/22/2012	4/30/2023
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	1/22/2012	4/30/2023
Inactive	Peerless Insurance Company	301910	Agent - Casualty	1/22/2012	4/30/2023
Inactive	Peerless Insurance Company	301910	Agent - Property	1/22/2012	4/30/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	1/22/2012	4/30/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	1/22/2012	4/30/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/11/2022	4/30/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/11/2022	4/30/2023
Inactive	Security National Insurance Company	301151	Agent - Casualty	8/15/2000	6/30/2001
Inactive	Security National Insurance Company	301151	Agent - General Lines	6/11/1999	8/15/2000
Inactive	Security National Insurance Company	301151	Agent - Property	8/15/2000	6/30/2001
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	6/23/2014	4/30/2023
Inactive	Selective Insurance Company of America	500018	Agent - Property	6/23/2014	4/30/2023
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	6/23/2014	4/30/2023
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	6/23/2014	4/30/2023
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	6/23/2014	4/30/2023
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	6/23/2014	4/30/2023
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	7/29/2003	12/7/2006
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	7/29/2003	12/7/2006
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	3/3/1999	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	7/29/2003	12/7/2006
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	7/29/2003	12/7/2006
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	7/29/2003	12/7/2006
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	7/29/2003	12/7/2006
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	7/29/2003	12/7/2006
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	7/29/2003	12/7/2006
Inactive	Trinity Universal Insurance Company	300911	Agent - Casualty	8/15/2000	6/30/2001
Inactive	Trinity Universal Insurance Company	300911	Agent - General Lines	7/29/1999	8/15/2000
Inactive	Trinity Universal Insurance Company	300911	Agent - Property	8/15/2000	6/30/2001
Active	Union Insurance Company of Providence	842791	Agent - Casualty	11/25/2025
Active	Union Insurance Company of Providence	842791	Agent - Property	11/25/2025
Inactive	West American Insurance Company	301112	Agent - Casualty	6/16/2004	4/30/2023
Inactive	West American Insurance Company	301112	Agent - Property	6/16/2004	4/30/2023
Inactive	West Bend Insurance Company	672974	Agent - Casualty	10/10/2012	4/30/2023
Inactive	West Bend Insurance Company	672974	Agent - Property	10/10/2012	4/30/2023
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/2/2021	6/10/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/2/2021	6/10/2021
Inactive	Westfield Insurance Company	301950	Agent - Casualty	7/29/2003	4/30/2023
Inactive	Westfield Insurance Company	301950	Agent - Property	7/29/2003	4/30/2023
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	7/29/2003	8/26/2009
Inactive	Westfield National Insurance Company	301036	Agent - Property	7/29/2003	8/26/2009
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021	6/10/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021	6/10/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/2/2021	6/10/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/2/2021	6/10/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/2/2021	6/10/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/2/2021	6/10/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nelson Ins Agency Inc	400059	Agent - Property	7/29/2003	4/30/2023
Inactive	Nelson Ins Agency Inc	400059	Agent - Casualty	7/29/2003	4/30/2023
Active	The Hilb Group Of Indiana LLC	937864	Agent - Property	11/11/2025
Active	The Hilb Group Of Indiana LLC	937864	Agent - Casualty	11/11/2025