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	Health	8/15/2018		11/30/2027
Active	Non Resident	Agent	Casualty	5/10/2006		11/30/2027
Active	Non Resident	Agent	Life	8/15/2018		11/30/2027
Active	Non Resident	Agent	Property	5/10/2006		11/30/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/12/2015		11/30/2027
* 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

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