DEPARTMENT OF INSURANCE

Affiliations

Name	Clarke, David Anderson	DOIID	518269	NAIC NPN	5965619

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	4/6/2001	5/31/2027
Active	Resident	Agent	Property	5/31/2001	5/31/2027
Active	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	5/31/2027
Active	Resident	Agent	Casualty	12/13/2000	5/31/2027
Active	Resident	Agent	Life	4/6/2001	5/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025	03/05/2025	03/05/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	1st Choice Advantage Insurance Company, Inc.	750782	Agent - Casualty	8/30/2011
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	4/5/2024
Inactive	AIG Assurance Company	300897	Agent - Casualty	4/10/2008	3/12/2010
Inactive	AIG Assurance Company	300897	Agent - Property	4/10/2008	3/12/2010
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	12/1/2011	11/8/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	12/1/2011	11/8/2022
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	3/28/2002	11/22/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/17/2002	11/22/2007
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	3/5/2001	8/10/2009
Inactive	Allstate Indemnity Company	300778	Agent - Property	5/31/2001	8/10/2009
Inactive	Allstate Insurance Company	300773	Agent - Casualty	12/13/2000	8/10/2009
Inactive	Allstate Insurance Company	300773	Agent - Property	5/31/2001	8/10/2009
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	8/10/2009
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	8/10/2009
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	8/30/2004	8/28/2009
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	8/30/2004	8/28/2009
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	6/24/2022	12/29/2023
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	6/24/2022	12/29/2023
Active	American Builders Insurance Company	677578	Agent - Casualty	6/23/2011
Active	American Builders Insurance Company	677578	Agent - Property	6/23/2011
Active	American Economy Insurance Company	300315	Agent - Casualty	9/14/2022
Active	American Economy Insurance Company	300315	Agent - Property	9/14/2022
Denied	American Equity Investment Life Insurance Company	300389	Agent - Life
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/28/2007	9/11/2008
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/28/2007	9/11/2008
Active	American Fire and Casualty Company	300567	Agent - Casualty	6/19/2006
Active	American Fire and Casualty Company	300567	Agent - Property	6/19/2006
Active	American Heritage Life Insurance Company	300272	Agent - Health	7/2/2001
Active	American Heritage Life Insurance Company	300272	Agent - Life	7/2/2001
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/11/2016	4/6/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/11/2016	4/6/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/6/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/6/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	6/9/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	6/9/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	6/9/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	6/9/2015	11/14/2021
Inactive	American States Life Insurance Company	301884	Agent - Health	4/23/2001	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	4/23/2001	12/6/2004
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	3/15/2006	6/20/2012
Inactive	American Zurich Insurance Company	300592	Agent - Property	3/15/2006	6/20/2012
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Assurance Company of America	300432	Agent - Casualty	3/15/2006	6/20/2012
Inactive	Assurance Company of America	300432	Agent - Property	3/15/2006	6/20/2012
Inactive	BancInsure, Inc.	301707	Agent - Casualty	1/26/2007	3/1/2008
Inactive	BancInsure, Inc.	301707	Agent - Property	1/26/2007	3/1/2008
Active	Banner Life Insurance Company	301696	Agent - Life	8/14/2003
Active	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	8/14/2006
Active	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/1/2010	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/1/2010	12/20/2024
Active	BusinessFirst Insurance Company	722488	Agent - Casualty	8/16/2016
Active	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	7/12/2004
Active	Celina Mutual Insurance Company (The)	301908	Agent - Property	7/12/2004
Inactive	Chase Insurance Life Company	301287	Agent - Life	7/21/2003	4/1/2007
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	10/4/2019
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	2/29/2024	1/8/2025
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	3/7/2014
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	3/7/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/16/2011	4/14/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	3/22/2002	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	3/22/2002	4/26/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/16/2011	4/14/2014
Inactive	EMC National Life Company	300388	Agent - Health	7/29/2020	3/20/2024
Inactive	EMC National Life Company	300388	Agent - Life	7/29/2020	3/20/2024
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	2/12/2015	6/17/2020
Inactive	EMCASCO Insurance Company	842790	Agent - Property	2/12/2015	6/17/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	5/19/2006	6/17/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	5/19/2006	6/17/2020
Active	Erie Family Life Insurance Company	301400	Agent - Health	10/17/2022
Active	Erie Family Life Insurance Company	301400	Agent - Life	6/15/2018
Active	Erie Insurance Company	300230	Agent - Casualty	6/15/2018
Active	Erie Insurance Company	300230	Agent - Property	6/15/2018
Active	Erie Insurance Company of New York	789916	Agent - Casualty	6/15/2018
Active	Erie Insurance Company of New York	789916	Agent - Property	6/15/2018
Active	Erie Insurance Exchange	300789	Agent - Casualty	6/15/2018
Active	Erie Insurance Exchange	300789	Agent - Property	6/15/2018
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	6/15/2018
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	6/15/2018
Active	Everett Cash Mutual Insurance Company	750768	Agent - Casualty	8/30/2011
Active	Everett Cash Mutual Insurance Company	750768	Agent - Property	8/30/2011
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	11/2/2011	7/26/2016
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/13/2004	1/1/2007
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
Active	Flagship City Insurance Company	789965	Agent - Casualty	6/15/2018
Active	Flagship City Insurance Company	789965	Agent - Property	6/15/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/16/2003
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/16/2003
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	Genworth Life Insurance Company	300623	Agent - Health	1/17/2013	1/7/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Life	1/17/2013	1/7/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/24/2010	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/25/2010	12/7/2012
Active	Gerber Life Insurance Company	300529	Agent - Health	11/11/2021
Active	Gerber Life Insurance Company	300529	Agent - Life	11/11/2021
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	10/14/2002	7/20/2004
Inactive	Glatfelter Insurance Company	301640	Agent - Property	10/14/2002	7/20/2004
Inactive	Granite State Insurance Company	300818	Agent - Casualty	4/10/2008	3/12/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	4/10/2008	3/12/2010
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	5/19/2006	12/15/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	5/19/2006	12/15/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	7/4/2019	12/10/2020
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	7/4/2019	12/10/2020
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	6/17/2016	12/13/2017
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	6/17/2016	12/13/2017
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	1/25/2021	7/21/2023
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	1/25/2021	7/21/2023
Active	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	4/6/2021
Active	Hartford Insurance Company of the Midwest	301918	Agent - Property	4/6/2021
Active	Hartford Insurance Company of the Southeast	1014204	Agent - Casualty	8/17/2020
Active	Hartford Insurance Company of the Southeast	1014204	Agent - Property	8/17/2020
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	12/4/2019	7/21/2023
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	12/4/2019	7/21/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/16/2011	4/14/2014
Inactive	Humana Insurance Company	301104	Agent - Health	9/15/2011	4/14/2014
Inactive	Humana Insurance Company	301104	Agent - Life	9/15/2011	4/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/16/2011	4/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/16/2011	4/14/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/30/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/30/2012	12/19/2012
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/11/2007	3/12/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/11/2007	3/12/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	3/22/2002	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	3/22/2002	2/3/2023
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/27/2014	4/14/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/27/2014	4/14/2014
Active	Keystone National Insurance Company	745173	Agent - Casualty	1/27/2016
Active	Keystone National Insurance Company	745173	Agent - Property	1/27/2016
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	9/26/2002	8/7/2008
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	9/26/2002	8/7/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/31/2018	4/1/2019
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/31/2018	4/1/2019
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	7/31/2018	4/1/2019
Inactive	Maryland Casualty Company	301719	Agent - Casualty	3/15/2006	6/20/2012
Inactive	Maryland Casualty Company	301719	Agent - Property	3/15/2006	6/20/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	8/22/2007	11/23/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	2/10/2010	11/14/2014
Inactive	Midland National Life Insurance Company	300923	Agent - Life	7/21/2003	7/20/2004
Active	Milbank Insurance Company	925185	Agent - Casualty	9/17/2020
Active	Milbank Insurance Company	925185	Agent - Property	9/17/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/31/2020	6/22/2021
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	3/22/2002	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	3/22/2002	4/26/2024
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	2/8/2002	7/19/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	3/15/2006	6/20/2012
Inactive	Northern Insurance Company of New York	301317	Agent - Property	3/15/2006	6/20/2012
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	6/19/2006
Active	Ohio Casualty Insurance Company	301492	Agent - Property	6/19/2006
Active	Ohio Security Insurance Company	300622	Agent - Casualty	6/19/2006
Active	Ohio Security Insurance Company	300622	Agent - Property	6/19/2006
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007
Active	Peerless Insurance Company	301910	Agent - Casualty	3/22/2002
Active	Peerless Insurance Company	301910	Agent - Property	3/22/2002
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	3/12/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	3/12/2010
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	2/7/2003	12/14/2016
Inactive	Praetorian Insurance Company	301021	Agent - Property	2/7/2003	12/14/2016
Active	Principal National Life Insurance Company	301926	Agent - Life	6/28/2016
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	3/17/2015	8/16/2017
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	3/17/2015	8/16/2017
Inactive	Protective Life Insurance Company	300638	Agent - Health	11/26/2020	11/23/2023
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/26/2020	11/23/2023
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	11/26/2020	11/23/2023
Inactive	Pruco Life Insurance Company	300954	Agent - Health	1/5/2006	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/20/2015	12/21/2022
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/6/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/6/2022
Active	Sentinel Insurance Company, Limited	501696	Agent - Casualty	11/27/2024
Active	Sentinel Insurance Company, Limited	501696	Agent - Property	11/27/2024
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	10/21/2021
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	10/21/2021
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020
Active	State Life Insurance Company	301497	Agent - Health	11/19/2020
Active	State Life Insurance Company	301497	Agent - Life	11/19/2020
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	2/4/2011	12/25/2023
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	2/4/2011	12/25/2023
Inactive	Symetra Life Insurance Company	301691	Agent - Health	4/6/2001	4/20/2015
Inactive	Symetra Life Insurance Company	301691	Agent - Life	4/6/2001	4/20/2015
Inactive	Symetra Life Insurance Company	301691	Agent - Variable Life and Variable Annuities	5/31/2001	4/20/2015
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	5/8/2018	9/25/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	5/8/2018	9/25/2019
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	9/14/2004	9/26/2007
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	2/12/2015	6/17/2020
Inactive	Union Insurance Company of Providence	842791	Agent - Property	2/12/2015	6/17/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/28/2003	11/22/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/28/2003	11/22/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/28/2003	11/22/2005
Active	West American Insurance Company	301112	Agent - Casualty	6/19/2006
Active	West American Insurance Company	301112	Agent - Property	6/19/2006
Active	West Bend Insurance Company	672974	Agent - Casualty	4/27/2012
Active	West Bend Insurance Company	672974	Agent - Property	4/27/2012
Inactive		300277	Agent - Life	7/9/2003	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	8/6/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	2/13/2025
Active	Keystone Ins & Benefits Group LLC	716920	Agent - Life	11/2/2011
Active	Keystone Ins & Benefits Group LLC	716920	Agent - Health	6/28/2021
Inactive	Medlink Inc	400721	Agent - Life	9/24/2002	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	9/24/2002	3/31/2024
Inactive	Moore Insurance Agency LLC	398304	Agent - Property	5/31/2001	8/25/2008
Active	Moore Insurance Agency LLC	681711	Agent - Property	6/16/2008
Inactive	Moore Insurance Agency LLC	398304	Agent - Casualty	4/19/2001	8/25/2008
Active	Moore Insurance Agency LLC	681711	Agent - Casualty	6/16/2008
Inactive	Moore Insurance Agency LLC	398304	Agent - Life	4/19/2001	8/25/2008
Active	Moore Insurance Agency LLC	681711	Agent - Life	6/16/2008
Inactive	Moore Insurance Agency LLC	398304	Agent - Health	4/19/2001	8/25/2008
Active	Moore Insurance Agency LLC	681711	Agent - Health	6/16/2008
Active	Moore Insurance Agency LLC	681711	Agent - Variable Life and Variable Annuities	6/28/2021