DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, John K	DOIID	631724	NAIC NPN	8771203

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/15/2018		11/30/2025
Active	Non Resident	Agent	Casualty	5/10/2006		11/30/2025
Active	Non Resident	Agent	Health	8/15/2018		11/30/2025
Active	Non Resident	Agent	Property	5/10/2006		11/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/12/2015		11/30/2025
* 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	09/15/2025	11/30/2025
Surplus Lines Broker	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Markel American Insurance Company	300377	Agent - Casualty	8/22/2018
Active	Markel American Insurance Company	300377	Agent - Health	8/22/2018
Active	Markel American Insurance Company	300377	Agent - Property	8/22/2018
Active	Markel Insurance Company	301475	Agent - Casualty	5/22/2012
Active	Markel Insurance Company	301475	Agent - Health	8/22/2018
Active	Markel Insurance Company	301475	Agent - Property	5/22/2012
Active	SureTec Insurance Company	693012	Agent - Casualty	8/5/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Markel Service Inc	397694	Agent - Casualty	9/11/2018
Active	Markel Service Inc	397694	Agent - Property	9/11/2018
Denied	Markel Service Inc	397694	Agent - Life
Active	Markel Service Inc	397694	Agent - Health	9/11/2018