DEPARTMENT OF INSURANCE

Affiliations

Name	Clayton, David Thomas	DOIID	629557	NAIC NPN	8759905

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	10/26/2006	10/31/2025
Active	Resident	Agent	Life	10/26/2006	10/31/2025
Active	Resident	Agent	Casualty	10/26/2006	10/31/2025
Active	Resident	Agent	Health	10/26/2006	10/31/2025
* 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
Active	ACE American Insurance Company	300625	Agent - Casualty	9/2/2014
Active	ACE American Insurance Company	300625	Agent - Property	9/2/2014
Active	American Economy Insurance Company	300315	Agent - Casualty	2/21/2023
Active	American Economy Insurance Company	300315	Agent - Property	2/21/2023
Active	American Fire and Casualty Company	300567	Agent - Casualty	2/18/2021
Active	American Fire and Casualty Company	300567	Agent - Property	2/18/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/11/2016	12/6/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/11/2016	12/6/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/17/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/17/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	4/24/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	4/24/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/11/2016	11/14/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	6/20/2013
Active	Anthem Life Insurance Company	301209	Agent - Life	6/20/2013
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	5/5/2022
Active	Auto-Owners Insurance Company	301480	Agent - Property	5/5/2022
Active	Auto-Owners Life Insurance Company	301368	Agent - Health	5/5/2022
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	5/5/2022
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	9/2/2014
Active	Bankers Standard Insurance Company	301620	Agent - Property	9/2/2014
Active	Banner Life Insurance Company	301696	Agent - Life	11/8/2018
Active	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/17/2014	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/17/2014	12/7/2017
Inactive	BusinessFirst Insurance Company	722488	Agent - Casualty	8/23/2013	12/30/2015
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	1/6/2023
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	1/6/2023
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	1/6/2023
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	1/6/2023
Active	Cincinnati Insurance Company	301298	Agent - Casualty	1/6/2023
Active	Cincinnati Insurance Company	301298	Agent - Property	1/6/2023
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	11/15/2018
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	11/9/2006	7/6/2013
Inactive	Dairyland Insurance Company	301370	Agent - Property	11/9/2006	7/6/2013
Inactive	EMC National Life Company	300388	Agent - Health	9/17/2013	3/20/2024
Inactive	EMC National Life Company	300388	Agent - Life	9/17/2013	3/20/2024
Active	EMC Property & Casualty Company	955217	Agent - Casualty	5/12/2021
Active	EMC Property & Casualty Company	955217	Agent - Property	5/12/2021
Active	EMCASCO Insurance Company	842790	Agent - Casualty	2/12/2015
Active	EMCASCO Insurance Company	842790	Agent - Property	2/12/2015
Active	Employers Mutual Casualty Company	300202	Agent - Casualty	9/13/2013
Active	Employers Mutual Casualty Company	300202	Agent - Property	9/13/2013
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	7/19/2013	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	7/19/2013	10/3/2024
Active	Encompass Insurance Company	300188	Agent - Casualty	1/29/2025
Active	Encompass Insurance Company	300188	Agent - Property	1/29/2025
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	7/19/2013	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	7/19/2013	12/13/2018
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	10/26/2006	6/5/2013
Inactive	FB Insurance Company (The)	301763	Agent - Health	10/26/2006	6/5/2013
Inactive	FB Insurance Company (The)	301763	Agent - Property	10/26/2006	6/5/2013
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/17/2014
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/17/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/17/2014	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/17/2014	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/17/2014	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/17/2014	8/29/2018
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	9/13/2013	12/15/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	9/13/2013	12/15/2017
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	9/2/2014
Active	Indemnity Insurance Company of North America	301760	Agent - Property	9/2/2014
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	12/11/2006	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	12/11/2006	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	4/11/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	4/11/2012
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	10/26/2006	6/5/2013
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	10/26/2006	6/5/2013
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	10/26/2006	6/5/2013
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	3/28/2014	11/14/2014
Active	Milbank Insurance Company	925185	Agent - Casualty	3/6/2020
Active	Milbank Insurance Company	925185	Agent - Property	3/6/2020
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	12/2/2015	4/23/2019
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/8/2020
Active	Ohio Casualty Insurance Company	301492	Agent - Property	10/8/2020
Active	Ohio Security Insurance Company	300622	Agent - Casualty	2/18/2021
Active	Ohio Security Insurance Company	300622	Agent - Property	2/18/2021
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
Active	Owners Insurance Company	300796	Agent - Casualty	5/5/2022
Active	Owners Insurance Company	300796	Agent - Property	5/5/2022
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	9/2/2014
Active	Pacific Employers Insurance Company	301753	Agent - Property	9/2/2014
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	7/30/2018
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	7/30/2018
Inactive	Protective Life Insurance Company	300638	Agent - Health	5/27/2020	11/23/2021
Inactive	Protective Life Insurance Company	300638	Agent - Life	5/27/2020	11/23/2021
Active	Pruco Life Insurance Company	300954	Agent - Life	1/24/2024
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	6/19/2020
Active	SAFECO Insurance Company of America	300159	Agent - Property	6/19/2020
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/14/2023
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/14/2023
Active	Selective Insurance Company of America	500018	Agent - Casualty	6/23/2014
Active	Selective Insurance Company of America	500018	Agent - Property	6/23/2014
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	6/23/2014
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	6/23/2014
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	6/23/2014
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	6/23/2014
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	10/26/2006	6/5/2013
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	10/26/2006	6/5/2013
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/19/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/19/2020
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	5/14/2021
Active	Travelers Property Casualty Company of America	301649	Agent - Property	5/14/2021
Active	Union Insurance Company of Providence	842791	Agent - Casualty	2/12/2015
Active	Union Insurance Company of Providence	842791	Agent - Property	2/12/2015
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	1/27/2021	10/23/2024
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	1/27/2021	10/23/2024
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	1/27/2021	10/23/2024
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Property	1/27/2021	10/23/2024
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	6/23/2017
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	9/27/2013
Active	Westfield Insurance Company	301950	Agent - Property	9/27/2013
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
Active	Designated Agent Company Inc.	681257	Agent - Health	6/20/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	6/20/2013
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	11/1/2006	5/31/2013
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	11/1/2006	5/31/2013
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	11/1/2006	5/31/2013
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	11/1/2006	5/31/2013
Inactive	Medlink Inc	400721	Agent - Health	11/6/2018	3/31/2024
Inactive	Medlink Inc	400721	Agent - Life	11/6/2018	3/31/2024
Active	Nelson Ins Agency Inc	400059	Agent - Health	3/25/2014
Active	Nelson Ins Agency Inc	400059	Agent - Life	3/25/2014
Active	Nelson Ins Agency Inc	400059	Agent - Casualty	6/3/2013
Active	Nelson Ins Agency Inc	400059	Agent - Property	6/3/2013