DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Melissa Dawn	DOIID	571320	NAIC NPN	7723857

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	1/30/2018	10/31/2025
Active	Resident	Agent	Property	1/30/2018	10/31/2025
Denied	Resident	Agent	Life
Denied	Resident	Agent	Health
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Casualty	7/23/2014	10/31/2017
Inactive	ACE American Insurance Company	300625	Agent - Property	7/23/2014	10/31/2017
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	2/1/2017	10/31/2017
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	2/1/2017	10/31/2017
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	7/23/2014	10/31/2017
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	7/23/2014	10/31/2017
Inactive	AIG Assurance Company	300897	Agent - Casualty	4/6/2005	8/22/2008
Inactive	AIG Assurance Company	300897	Agent - Property	4/6/2005	8/22/2008
Active	Allstate Indemnity Company	300778	Agent - Casualty	8/4/2021
Active	Allstate Indemnity Company	300778	Agent - Property	8/4/2021
Active	Allstate Insurance Company	300773	Agent - Casualty	8/4/2021
Active	Allstate Insurance Company	300773	Agent - Property	8/4/2021
Inactive	Allstate Northbrook Indemnity Company	301309	Agent - Casualty	6/13/2005	10/20/2008
Inactive	Allstate Northbrook Indemnity Company	301309	Agent - Property	6/13/2005	10/20/2008
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/4/2021
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/4/2021
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	8/4/2021
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	8/4/2021
Active	American Economy Insurance Company	300315	Agent - Casualty	8/25/2022
Active	American Economy Insurance Company	300315	Agent - Property	8/25/2022
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	7/17/2008	8/28/2008
Inactive	American Family Home Insurance Company	301817	Agent - Property	7/17/2008	8/28/2008
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/27/2004	8/28/2008
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/27/2004	8/28/2008
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/21/2005	8/28/2008
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/21/2005	8/28/2008
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/17/2008	8/28/2008
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/17/2008	8/28/2008
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	7/3/2014	10/31/2017
Inactive	Ansur America Insurance Company	520667	Agent - Property	7/3/2014	10/31/2017
Inactive	Assurance Company of America	300432	Agent - Casualty	7/1/2004	9/4/2008
Inactive	Assurance Company of America	300432	Agent - Property	7/1/2004	9/4/2008
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	5/4/2004	1/24/2008
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	5/4/2004	1/24/2008
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	5/5/2015	10/31/2017
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	5/5/2015	10/31/2017
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/4/2019
Active	Bristol West Insurance Company	301655	Agent - Property	12/4/2019
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	3/1/2018
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	3/1/2018
Active	CSAA General Insurance Company	606675	Agent - Casualty	3/1/2018
Active	CSAA General Insurance Company	606675	Agent - Property	3/1/2018
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	9/16/2022
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	9/16/2022
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	9/16/2022
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	9/16/2022
Active	Cincinnati Insurance Company	301298	Agent - Casualty	9/16/2022
Active	Cincinnati Insurance Company	301298	Agent - Property	9/16/2022
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	7/3/2004	9/8/2008
Inactive	Dairyland Insurance Company	301370	Agent - Property	7/3/2004	9/8/2008
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	5/5/2017	10/31/2017
Inactive	Encompass Indemnity Company	546376	Agent - Property	5/5/2017	10/31/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	5/5/2017	10/31/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Property	5/5/2017	10/31/2017
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	2/18/2004	1/30/2008
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	2/18/2004	1/30/2008
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	1/26/2005	9/9/2008
Inactive	Farmers Insurance Exchange	300336	Agent - Property	1/26/2005	9/9/2008
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/8/2009	5/21/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/8/2009	5/21/2013
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/4/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/4/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/11/2015	10/31/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/11/2015	10/31/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	6/11/2015	10/31/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	6/11/2015	10/31/2017
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	7/3/2014	10/31/2017
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	7/3/2014	10/31/2017
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	7/1/2004	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	7/1/2004	11/30/2007
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	2/14/2018
Active	Grange Indemnity Insurance Company	300793	Agent - Property	2/14/2018
Active	Grange Insurance Company	300234	Agent - Casualty	2/14/2018
Active	Grange Insurance Company	300234	Agent - Property	2/14/2018
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/14/2018
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/14/2018
Inactive	Granite State Insurance Company	300818	Agent - Casualty	1/11/2007	8/22/2008
Inactive	Granite State Insurance Company	300818	Agent - Property	1/11/2007	8/22/2008
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	2/2/2004	3/9/2005
Inactive	Hallmark National Insurance Company	300494	Agent - Property	2/2/2004	3/9/2005
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	4/4/2024
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	4/4/2024
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	6/25/2012	12/17/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	6/25/2012	12/17/2014
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/11/2007	8/22/2008
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/11/2007	8/22/2008
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	5/5/2015	10/31/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	5/5/2015	10/31/2017
Active	MICO Insurance Company	301664	Agent - Casualty	11/29/2023
Active	MICO Insurance Company	301664	Agent - Property	11/29/2023
Inactive	Maryland Casualty Company	301719	Agent - Casualty	7/1/2004	9/4/2008
Inactive	Maryland Casualty Company	301719	Agent - Property	7/1/2004	9/4/2008
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Casualty	2/2/2004	3/9/2005
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Property	2/2/2004	3/9/2005
Active	Meridian Security Insurance Company	300423	Agent - Casualty	3/6/2020
Active	Meridian Security Insurance Company	300423	Agent - Property	3/6/2020
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	10/8/2009	5/21/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	10/8/2009	5/21/2013
Active	Milbank Insurance Company	925185	Agent - Casualty	3/6/2020
Active	Milbank Insurance Company	925185	Agent - Property	3/6/2020
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	5/1/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	5/1/2019
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	3/27/2014	10/31/2017
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	3/27/2014	10/31/2017
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	7/1/2004	9/4/2008
Inactive	Northern Insurance Company of New York	301317	Agent - Property	7/1/2004	9/4/2008
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/2/2021	6/10/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/2/2021	6/10/2021
Inactive	Omni Indemnity Company	301456	Agent - Casualty	11/8/2006	9/11/2008
Inactive	Omni Indemnity Company	301456	Agent - Property	11/8/2006	9/11/2008
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	5/5/2015	10/31/2017
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	5/5/2015	10/31/2017
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	8/22/2008
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	8/22/2008
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/25/2004	4/28/2008
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	6/25/2004	4/28/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	3/1/2004	4/28/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	3/1/2004	4/28/2008
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	2/8/2018
Active	SAFECO Insurance Company of America	300159	Agent - Property	2/8/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/29/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/29/2022
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/21/2010	12/10/2012
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	6/21/2010	12/10/2012
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/4/2004	1/24/2008
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/4/2004	1/24/2008
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	3/6/2020
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	10/29/2008	10/19/2009
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	10/29/2008	10/19/2009
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	10/29/2008	10/19/2009
Inactive	State Farm General Insurance Company	301122	Agent - Property	10/29/2008	10/19/2009
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	10/29/2008	10/19/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	5/4/2004	1/24/2008
Inactive	The Phoenix Insurance Company	301502	Agent - Property	5/4/2004	1/24/2008
Inactive	TravCo Insurance Company	301828	Agent - Casualty	5/4/2004	1/24/2008
Inactive	TravCo Insurance Company	301828	Agent - Property	5/4/2004	1/24/2008
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	5/4/2004	1/24/2008
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	5/4/2004	1/24/2008
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/19/2005	1/24/2008
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/19/2005	1/24/2008
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	5/4/2004	1/24/2008
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	5/4/2004	1/24/2008
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	5/4/2004	1/24/2008
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	5/4/2004	1/24/2008
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	9/9/2008
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	9/9/2008
Active	Trustgard Insurance Company	300104	Agent - Casualty	2/14/2018
Active	Trustgard Insurance Company	300104	Agent - Property	2/14/2018
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005	4/28/2008
Inactive	United Financial Casualty Company	301886	Agent - Property	12/2/2005	4/28/2008
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	7/13/2011	7/28/2017
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	7/13/2011	7/28/2017
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	7/13/2011	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	7/13/2011	12/2/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	4/6/2007	2/28/2008
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	4/6/2007	2/28/2008
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	7/23/2014	10/31/2017
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	7/23/2014	10/31/2017
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
Active	Westfield Insurance Company	301950	Agent - Casualty	2/22/2018
Active	Westfield Insurance Company	301950	Agent - Property	2/22/2018
Active	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021
Active	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021
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
Active	Energy Ins Agency Inc	398833	Agent - Casualty	2/8/2018
Active	Energy Ins Agency Inc	398833	Agent - Property	2/8/2018
Inactive	Madison Insurance Agency Inc	507083	Agent - Casualty	12/2/2003	1/21/2004
Inactive	Madison Insurance Agency Inc	507083	Agent - Property	12/2/2003	1/21/2004
Inactive	Southwest Business Corporation	552783	Agent - Casualty	10/8/2009	1/13/2012
Inactive	Southwest Business Corporation	552783	Agent - Property	10/8/2009	1/13/2012