DEPARTMENT OF INSURANCE
Affiliations
NameClark, Elizabeth AnnDOIID646687NAIC NPN9006377
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife3/25/20084/1/2024 
InactiveResidentAgentCasualty4/11/20074/1/2024 
InactiveResidentAgentProperty4/11/20074/1/2024 
InactiveResidentAgentHealth3/25/20084/1/2024 
* 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
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

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