DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Barbara J	DOIID	631939	NAIC NPN	8750843

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/15/2006	10/31/2017
Inactive	Non Resident	Agent	Life	5/15/2006	10/31/2017
Inactive	Non Resident	Agent	Casualty	5/15/2006	10/31/2017
Inactive	Non Resident	Agent	Property	5/15/2006	10/31/2017
* 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
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/26/2007	4/17/2008
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/26/2007	4/17/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/14/2013	10/31/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/14/2013	10/31/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	2/14/2013	10/31/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	2/14/2013	10/31/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	2/14/2013	10/31/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	2/14/2013	10/31/2017
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	12/26/2007	4/17/2008
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	12/26/2007	4/17/2008
Inactive	NCMIC Insurance Company	301007	Agent - Casualty	11/28/2006	3/29/2016
Inactive	Professional Solutions Insurance Company	569414	Agent - Casualty	11/7/2006	3/29/2016
Inactive	Professional Solutions Insurance Company	569414	Agent - Property	11/7/2006	3/29/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	NCMIC Insurance Services, Inc.	399052	Agent - Life
Denied	NCMIC Insurance Services, Inc.	399052	Agent - Health
Inactive	NCMIC Insurance Services, Inc.	399052	Agent - Property	2/2/2007	3/30/2016
Inactive	NCMIC Insurance Services, Inc.	399052	Agent - Casualty	2/2/2007	3/30/2016
Inactive	Professional Solutions Insurance Services, Inc	631015	Agent - Property	2/2/2007	3/30/2016
Inactive	Professional Solutions Insurance Services, Inc	631015	Agent - Casualty	2/2/2007	3/30/2016