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DEPARTMENT OF INSURANCE
Affiliations
Name
Clark, Elizabeth Ann
DOIID
646687
NAIC NPN
9006377
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
3/25/2008
4/1/2024
Inactive
Resident
Agent
Casualty
4/11/2007
4/1/2024
Inactive
Resident
Agent
Property
4/11/2007
4/1/2024
Inactive
Resident
Agent
Health
3/25/2008
4/1/2024
* 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
1st Choice Advantage Insurance Company, Inc.
750782
Agent - Casualty
2/1/2012
1/1/2018
Inactive
American Fire and Casualty Company
300567
Agent - Casualty
1/18/2012
12/20/2016
Inactive
American Fire and Casualty Company
300567
Agent - Property
1/18/2012
12/20/2016
Inactive
American Select Insurance Company
301229
Agent - Casualty
4/20/2007
10/25/2007
Inactive
American Select Insurance Company
301229
Agent - Property
4/20/2007
10/25/2007
Inactive
Ansur America Insurance Company
520667
Agent - Casualty
2/20/2012
1/18/2017
Inactive
Ansur America Insurance Company
520667
Agent - Property
2/20/2012
1/18/2017
Inactive
Consolidated Insurance Company
300943
Agent - Casualty
1/18/2012
12/20/2016
Inactive
Consolidated Insurance Company
300943
Agent - Property
1/18/2012
12/20/2016
Inactive
EMCASCO Insurance Company
842790
Agent - Casualty
2/12/2015
10/16/2017
Inactive
EMCASCO Insurance Company
842790
Agent - Property
2/12/2015
10/16/2017
Inactive
Employers Mutual Casualty Company
300202
Agent - Casualty
2/3/2012
10/16/2017
Inactive
Employers Mutual Casualty Company
300202
Agent - Property
2/3/2012
10/16/2017
Inactive
Everett Cash Mutual Insurance Company
750768
Agent - Casualty
2/1/2012
1/1/2018
Inactive
Everett Cash Mutual Insurance Company
750768
Agent - Property
2/1/2012
1/1/2018
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
4/24/2007
12/10/2007
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
4/24/2007
12/10/2007
Inactive
Frankenmuth Insurance Company
301481
Agent - Casualty
2/20/2012
1/18/2017
Inactive
Frankenmuth Insurance Company
301481
Agent - Property
2/20/2012
1/18/2017
Inactive
Hamilton Mutual Insurance Company
301111
Agent - Casualty
2/3/2012
10/16/2017
Inactive
Hamilton Mutual Insurance Company
301111
Agent - Property
2/3/2012
10/16/2017
Inactive
Indiana Insurance Company
301909
Agent - Casualty
1/18/2012
12/20/2016
Inactive
Indiana Insurance Company
301909
Agent - Property
1/18/2012
12/20/2016
Inactive
National General Insurance Company
300152
Agent - Casualty
2/17/2012
10/10/2023
Inactive
National General Insurance Company
300152
Agent - Property
2/17/2012
10/10/2023
Inactive
Netherlands Insurance Company (The)
300339
Agent - Casualty
1/18/2012
12/20/2016
Inactive
Netherlands Insurance Company (The)
300339
Agent - Property
1/18/2012
12/20/2016
Inactive
Ohio Casualty Insurance Company
301492
Agent - Casualty
1/18/2012
12/20/2016
Inactive
Ohio Casualty Insurance Company
301492
Agent - Property
1/18/2012
12/20/2016
Inactive
Ohio Farmers Insurance Company
301667
Agent - Casualty
4/20/2007
10/25/2007
Inactive
Ohio Farmers Insurance Company
301667
Agent - Property
4/20/2007
10/25/2007
Inactive
Ohio Security Insurance Company
300622
Agent - Casualty
1/18/2012
12/20/2016
Inactive
Ohio Security Insurance Company
300622
Agent - Property
1/18/2012
12/20/2016
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Casualty
1/18/2012
12/20/2016
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Property
1/18/2012
12/20/2016
Inactive
Peerless Insurance Company
301910
Agent - Casualty
1/18/2012
12/20/2016
Inactive
Peerless Insurance Company
301910
Agent - Property
1/18/2012
12/20/2016
Inactive
Philadelphia Indemnity Insurance Company
301221
Agent - Casualty
1/30/2012
4/1/2024
Inactive
Philadelphia Indemnity Insurance Company
301221
Agent - Property
1/30/2012
4/1/2024
Inactive
State Farm Fire and Casualty Company
301809
Agent - Casualty
12/28/2007
2/28/2012
Inactive
State Farm Fire and Casualty Company
301809
Agent - Property
12/28/2007
2/28/2012
Inactive
State Farm General Insurance Company
301122
Agent - Casualty
12/28/2007
11/19/2010
Inactive
State Farm General Insurance Company
301122
Agent - Property
12/28/2007
11/19/2010
Inactive
State Farm Life Insurance Company
301810
Agent - Life
4/8/2008
2/28/2012
Inactive
State Farm Mutual Automobile Insurance Company
301732
Agent - Casualty
12/28/2007
2/28/2012
Inactive
State Farm Mutual Automobile Insurance Company
301732
Agent - Health
4/8/2008
2/28/2012
Inactive
Union Insurance Company of Providence
842791
Agent - Casualty
2/12/2015
10/16/2017
Inactive
Union Insurance Company of Providence
842791
Agent - Property
2/12/2015
10/16/2017
Inactive
West American Insurance Company
301112
Agent - Casualty
1/18/2012
12/20/2016
Inactive
West American Insurance Company
301112
Agent - Property
1/18/2012
12/20/2016
Inactive
West Bend Insurance Company
672974
Agent - Casualty
11/5/2012
1/28/2019
Inactive
West Bend Insurance Company
672974
Agent - Property
11/5/2012
1/28/2019
Inactive
Westfield Insurance Company
301950
Agent - Casualty
4/20/2007
10/25/2007
Inactive
Westfield Insurance Company
301950
Agent - Property
4/20/2007
10/25/2007
Inactive
Westfield National Insurance Company
301036
Agent - Casualty
4/20/2007
10/25/2007
Inactive
Westfield National Insurance Company
301036
Agent - Property
4/20/2007
10/25/2007
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Lexington Insurance Agency, Inc.
583843
Agent - Casualty
1/25/2012
11/16/2017
Inactive
Lexington Insurance Agency, Inc.
583843
Agent - Property
1/25/2012
11/16/2017
Inactive
Lexington Insurance Agency, Inc.
583843
Agent - Health
1/25/2012
2/28/2012
Inactive
Lexington Insurance Agency, Inc.
583843
Agent - Life
1/25/2012
2/28/2012
Inactive
Ronald White Inc.
400337
Agent - Casualty
4/23/2007
10/25/2007
Inactive
Ronald White Inc.
400337
Agent - Property
4/23/2007
10/25/2007
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