DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, James Timothy	DOIID	652367	NAIC NPN	8200468

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	9/22/2016	3/31/2022
Inactive	Non Resident	Agent	Health	11/12/2019	3/31/2022
Inactive	Non Resident	Agent	Life	11/12/2019	3/31/2022
Inactive	Non Resident	Agent	Property	9/22/2016	3/31/2022
Inactive	Non Resident	Independent Adjuster	Property & Casualty	5/6/2022	3/31/2024
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/30/2020	3/31/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/30/2020	3/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/30/2020	3/31/2022
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	4/15/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	4/15/2022
Inactive	American General Life Insurance Company	301585	Agent - Health	12/9/2019	12/18/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	12/9/2019	12/18/2019
Inactive	American Hallmark Insurance Company of Texas	709267	Agent - Casualty	2/22/2018	3/31/2022
Inactive	American Hallmark Insurance Company of Texas	709267	Agent - Property	2/22/2018	3/31/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/13/2020	3/31/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	3/31/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	3/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/13/2020	3/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/13/2020	3/31/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	1/18/2022	3/31/2022
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/10/2017	10/28/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/10/2017	10/28/2019
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	5/6/2008	2/10/2009
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	5/6/2008	2/10/2009
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	3/31/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	2/13/2008	2/5/2010
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/1/2019	10/29/2019
Inactive	Dairyland Insurance Company	301370	Agent - Property	4/1/2019	10/29/2019
Inactive	Esurance Insurance Company	301072	Agent - Casualty	12/22/2016	1/25/2017
Inactive	Esurance Insurance Company	301072	Agent - Property	12/22/2016	1/25/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	2/12/2019	10/28/2019
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	2/12/2019	10/28/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/29/2008	2/5/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/4/2019	10/28/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/4/2019	10/28/2019
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	10/3/2016	12/28/2020
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	10/3/2016	12/28/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/3/2007	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/3/2007	11/10/2008
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/18/2018	3/31/2022
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	12/18/2018	3/31/2022
Inactive	Grange Insurance Company	300234	Agent - Casualty	12/18/2018	3/31/2022
Inactive	Grange Insurance Company	300234	Agent - Property	12/18/2018	3/31/2022
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	12/18/2018	3/31/2022
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	12/18/2018	3/31/2022
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	4/15/2009	3/31/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/1/2019	11/18/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/1/2019	11/18/2019
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	12/20/2018	10/25/2019
Inactive	QBE Insurance Corporation	300515	Agent - Property	12/20/2018	10/25/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	1/16/2019	11/6/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	1/16/2019	11/6/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/16/2019	11/6/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/16/2019	11/6/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/30/2020	3/31/2022
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	6/11/2007	2/26/2010
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	6/11/2007	2/26/2010
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	12/18/2018	3/31/2022
Inactive	Trustgard Insurance Company	300104	Agent - Property	12/18/2018	3/31/2022
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	10/3/2016	12/28/2020
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	10/3/2016	12/28/2020
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	10/3/2016	12/28/2020
Inactive	USAA General Indemnity Company	300131	Agent - Property	10/3/2016	12/28/2020
Inactive	United Financial Casualty Company	301886	Agent - Casualty	3/1/2019	11/18/2019
Inactive	United Financial Casualty Company	301886	Agent - Property	3/1/2019	11/18/2019
Inactive	United Services Automobile Association	300158	Agent - Casualty	10/3/2016	12/28/2020
Inactive	United Services Automobile Association	300158	Agent - Property	10/3/2016	12/28/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/6/2021	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/6/2021	5/14/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Property	10/10/2016	1/23/2017
Inactive	Financial Insurance Services, Inc.	514710	Agent - Casualty	10/10/2016	1/23/2017
Inactive	Right Answer Ins Agency LLC	780508	Agent - Property	12/19/2016	3/31/2022
Inactive	Right Answer Ins Agency LLC	780508	Agent - Casualty	12/19/2016	3/31/2022