DEPARTMENT OF INSURANCE
Affiliations
NameClark, Melissa DawnDOIID623293NAIC NPN8685058
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty3/31/2008 3/31/2027
ActiveResidentAgentCasualty3/31/2008 3/31/2027
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican Economy Insurance Company300315Agent - Casualty11/9/2019 
ActiveAmerican Economy Insurance Company300315Agent - Property11/9/2019 
ActiveAmerican Fire and Casualty Company300567Agent - Casualty12/17/2014 
ActiveAmerican Fire and Casualty Company300567Agent - Property12/17/2014 
ActiveAuto-Owners Insurance Company301480Agent - Casualty6/9/2008 
ActiveAuto-Owners Insurance Company301480Agent - Property6/9/2008 
InactiveBristol West Insurance Company301655Agent - Casualty12/31/200812/7/2017
InactiveBristol West Insurance Company301655Agent - Property12/31/200812/7/2017
ActiveCelina Mutual Insurance Company (The)301908Agent - Casualty12/2/2008 
ActiveCelina Mutual Insurance Company (The)301908Agent - Property12/2/2008 
InactiveConsolidated Insurance Company300943Agent - Casualty12/17/20144/26/2024
InactiveConsolidated Insurance Company300943Agent - Property12/17/20144/26/2024
ActiveDairyland Insurance Company301370Agent - Casualty11/17/2010 
ActiveDairyland Insurance Company301370Agent - Property11/17/2010 
InactiveFarmers Insurance Exchange300336Agent - Casualty2/6/20064/1/2007
InactiveFarmers Insurance Exchange300336Agent - Property2/6/20064/1/2007
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty4/14/2025 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property4/14/2025 
InactiveGrange Indemnity Insurance Company300793Agent - Casualty2/25/20152/10/2020
InactiveGrange Indemnity Insurance Company300793Agent - Property2/25/20152/10/2020
InactiveGrange Insurance Company300234Agent - Casualty2/25/20152/10/2020
InactiveGrange Insurance Company300234Agent - Property2/25/20152/10/2020
InactiveGrange Property & Casualty Insurance Company601680Agent - Casualty2/25/20152/10/2020
InactiveGrange Property & Casualty Insurance Company601680Agent - Property2/25/20152/10/2020
InactiveHartford Accident and Indemnity Company301917Agent - Casualty11/8/20153/9/2017
InactiveHartford Accident and Indemnity Company301917Agent - Property11/8/20153/9/2017
InactiveIndiana Insurance Company301909Agent - Casualty12/17/20142/3/2023
InactiveIndiana Insurance Company301909Agent - Property12/17/20142/3/2023
ActiveKentucky National Insurance Company301625Agent - Casualty6/30/2011 
ActiveKentucky National Insurance Company301625Agent - Property6/30/2011 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty12/17/20144/26/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property12/17/20144/26/2024
ActiveOhio Casualty Insurance Company301492Agent - Casualty12/17/2014 
ActiveOhio Casualty Insurance Company301492Agent - Property12/17/2014 
ActiveOhio Security Insurance Company300622Agent - Casualty9/5/2014 
ActiveOhio Security Insurance Company300622Agent - Property9/5/2014 
ActiveOwners Insurance Company300796Agent - Casualty6/9/2008 
ActiveOwners Insurance Company300796Agent - Property6/9/2008 
ActivePeerless Indemnity Insurance Company571682Agent - Casualty12/17/2014 
ActivePeerless Indemnity Insurance Company571682Agent - Property12/17/2014 
InactivePeerless Insurance Company301910Agent - Casualty12/17/20145/8/2025
InactivePeerless Insurance Company301910Agent - Property12/17/20145/8/2025
InactiveProgressive Casualty Insurance Company300696Agent - Casualty2/2/20064/1/2007
InactiveProgressive Casualty Insurance Company300696Agent - Property2/2/20064/1/2007
InactiveProgressive Northern Insurance Company301378Agent - Casualty2/2/20064/1/2007
InactiveProgressive Northern Insurance Company301378Agent - Property2/2/20064/1/2007
ActiveSAFECO Insurance Company of America300159Agent - Casualty5/19/2015 
ActiveSAFECO Insurance Company of America300159Agent - Property5/19/2015 
ActiveSAFECO Insurance Company of Illinois301350Agent - Casualty5/19/2015 
ActiveSAFECO Insurance Company of Illinois301350Agent - Property5/19/2015 
InactiveTrexis Insurance Corporation599902Agent - Casualty1/27/20064/1/2007
InactiveTruck Insurance Exchange300335Agent - Casualty3/11/20098/29/2012
InactiveTruck Insurance Exchange300335Agent - Property3/11/20098/29/2012
InactiveTrustgard Insurance Company300104Agent - Casualty2/25/20152/10/2020
InactiveTrustgard Insurance Company300104Agent - Property2/25/20152/10/2020
InactiveUnited Financial Casualty Company301886Agent - Casualty2/2/20064/1/2007
InactiveUnited Financial Casualty Company301886Agent - Property2/2/20064/1/2007
ActiveWest American Insurance Company301112Agent - Casualty12/17/2014 
ActiveWest American Insurance Company301112Agent - Property12/17/2014 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveHawkins & Keith Ins Agency Inc399571Agent - Casualty3/31/2010 
ActiveHawkins & Keith Ins Agency Inc399571Agent - Property3/31/2010 

© Commonwealth of Kentucky. All rights reserved.