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	Health	10/26/2006	10/31/2025
Active	Resident	Agent	Life	10/26/2006	10/31/2025
Active	Resident	Agent	Property	10/26/2006	10/31/2025
Active	Resident	Agent	Casualty	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.

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
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
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	1/27/2021
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Property	1/27/2021
Active	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	1/27/2021
Active	Unitrin Safeguard Insurance Company	301371	Agent - Property	1/27/2021
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