PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameClark, Elizabeth AnnDOIID646687NAIC NPN9006377
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife3/25/2025 3/31/2026
ActiveResidentAgentHealth3/25/2025 3/31/2026
ActiveResidentAgentProperty3/25/2025 3/31/2026
ActiveResidentAgentCasualty3/25/2025 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Inactive1st Choice Advantage Insurance Company, Inc.750782Agent - Casualty2/1/20121/1/2018
InactiveAmerican Fire and Casualty Company300567Agent - Casualty1/18/201212/20/2016
InactiveAmerican Fire and Casualty Company300567Agent - Property1/18/201212/20/2016
InactiveAmerican Select Insurance Company301229Agent - Casualty4/20/200710/25/2007
InactiveAmerican Select Insurance Company301229Agent - Property4/20/200710/25/2007
InactiveAnsur America Insurance Company520667Agent - Casualty2/20/20121/18/2017
InactiveAnsur America Insurance Company520667Agent - Property2/20/20121/18/2017
InactiveConsolidated Insurance Company300943Agent - Casualty1/18/201212/20/2016
InactiveConsolidated Insurance Company300943Agent - Property1/18/201212/20/2016
InactiveEMCASCO Insurance Company842790Agent - Casualty2/12/201510/16/2017
InactiveEMCASCO Insurance Company842790Agent - Property2/12/201510/16/2017
InactiveEmployers Mutual Casualty Company300202Agent - Casualty2/3/201210/16/2017
InactiveEmployers Mutual Casualty Company300202Agent - Property2/3/201210/16/2017
InactiveEverett Cash Mutual Insurance Company750768Agent - Casualty2/1/20121/1/2018
InactiveEverett Cash Mutual Insurance Company750768Agent - Property2/1/20121/1/2018
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty4/24/200712/10/2007
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property4/24/200712/10/2007
InactiveFrankenmuth Insurance Company301481Agent - Casualty2/20/20121/18/2017
InactiveFrankenmuth Insurance Company301481Agent - Property2/20/20121/18/2017
InactiveHamilton Mutual Insurance Company301111Agent - Casualty2/3/201210/16/2017
InactiveHamilton Mutual Insurance Company301111Agent - Property2/3/201210/16/2017
InactiveIndiana Insurance Company301909Agent - Casualty1/18/201212/20/2016
InactiveIndiana Insurance Company301909Agent - Property1/18/201212/20/2016
InactiveNational General Insurance Company300152Agent - Casualty2/17/201210/10/2023
InactiveNational General Insurance Company300152Agent - Property2/17/201210/10/2023
InactiveNetherlands Insurance Company (The)300339Agent - Casualty1/18/201212/20/2016
InactiveNetherlands Insurance Company (The)300339Agent - Property1/18/201212/20/2016
InactiveOhio Casualty Insurance Company301492Agent - Casualty1/18/201212/20/2016
InactiveOhio Casualty Insurance Company301492Agent - Property1/18/201212/20/2016
InactiveOhio Farmers Insurance Company301667Agent - Casualty4/20/200710/25/2007
InactiveOhio Farmers Insurance Company301667Agent - Property4/20/200710/25/2007
InactiveOhio Security Insurance Company300622Agent - Casualty1/18/201212/20/2016
InactiveOhio Security Insurance Company300622Agent - Property1/18/201212/20/2016
InactivePeerless Indemnity Insurance Company571682Agent - Casualty1/18/201212/20/2016
InactivePeerless Indemnity Insurance Company571682Agent - Property1/18/201212/20/2016
InactivePeerless Insurance Company301910Agent - Casualty1/18/201212/20/2016
InactivePeerless Insurance Company301910Agent - Property1/18/201212/20/2016
InactivePhiladelphia Indemnity Insurance Company301221Agent - Casualty1/30/20124/1/2024
InactivePhiladelphia Indemnity Insurance Company301221Agent - Property1/30/20124/1/2024
InactiveState Farm Fire and Casualty Company301809Agent - Casualty12/28/20072/28/2012
InactiveState Farm Fire and Casualty Company301809Agent - Property12/28/20072/28/2012
InactiveState Farm General Insurance Company301122Agent - Casualty12/28/200711/19/2010
InactiveState Farm General Insurance Company301122Agent - Property12/28/200711/19/2010
InactiveState Farm Life Insurance Company301810Agent - Life4/8/20082/28/2012
InactiveState Farm Mutual Automobile Insurance Company301732Agent - Casualty12/28/20072/28/2012
InactiveState Farm Mutual Automobile Insurance Company301732Agent - Health4/8/20082/28/2012
InactiveUnion Insurance Company of Providence842791Agent - Casualty2/12/201510/16/2017
InactiveUnion Insurance Company of Providence842791Agent - Property2/12/201510/16/2017
InactiveWest American Insurance Company301112Agent - Casualty1/18/201212/20/2016
InactiveWest American Insurance Company301112Agent - Property1/18/201212/20/2016
InactiveWest Bend Insurance Company672974Agent - Casualty11/5/20121/28/2019
InactiveWest Bend Insurance Company672974Agent - Property11/5/20121/28/2019
InactiveWestfield Insurance Company301950Agent - Casualty4/20/200710/25/2007
InactiveWestfield Insurance Company301950Agent - Property4/20/200710/25/2007
InactiveWestfield National Insurance Company301036Agent - Casualty4/20/200710/25/2007
InactiveWestfield National Insurance Company301036Agent - Property4/20/200710/25/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveLexington Insurance Agency, Inc.583843Agent - Casualty1/25/201211/16/2017
InactiveLexington Insurance Agency, Inc.583843Agent - Property1/25/201211/16/2017
InactiveLexington Insurance Agency, Inc.583843Agent - Health1/25/20122/28/2012
InactiveLexington Insurance Agency, Inc.583843Agent - Life1/25/20122/28/2012
InactiveRonald White Inc.400337Agent - Casualty4/23/200710/25/2007
InactiveRonald White Inc.400337Agent - Property4/23/200710/25/2007

© Commonwealth of Kentucky. All rights reserved.