DEPARTMENT OF INSURANCE

Affiliations

Name	Clark III, William C	DOIID	676888	NAIC NPN	10486627

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	12/27/2012	9/30/2026
Active	Resident	Agent	Casualty	12/27/2012	9/30/2026
Active	Resident	Agent	Property	12/27/2012	9/30/2026
Active	Resident	Agent	Life	12/27/2012	9/30/2026
* 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
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/20/2025
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/20/2025
Active	American Strategic Insurance Corp	883540	Agent - Casualty	4/23/2025
Active	American Strategic Insurance Corp	883540	Agent - Property	4/23/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/15/2013	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/15/2013	4/15/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/11/2013	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/11/2013	12/20/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/10/2013	12/5/2014
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	9/26/2016	3/26/2025
Inactive	Dairyland Insurance Company	301370	Agent - Property	9/26/2016	3/26/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/10/2013	12/5/2014
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/11/2013
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/11/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/24/2009	10/1/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/24/2009	10/1/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/10/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	9/20/2013	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	9/20/2013	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/10/2013	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/10/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/10/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/10/2013	12/5/2014
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/1/2025
Active	Progressive Casualty Insurance Company	300696	Agent - Property	5/1/2025
Active	Shelter General Insurance Company	301109	Agent - Casualty	12/31/2012
Active	Shelter General Insurance Company	301109	Agent - Property	12/31/2012
Active	Shelter Life Insurance Company	300391	Agent - Health	12/31/2012
Active	Shelter Life Insurance Company	300391	Agent - Life	12/31/2012
Active	Shelter Mutual Insurance Company	301870	Agent - Casualty	12/31/2012
Active	Shelter Mutual Insurance Company	301870	Agent - Property	12/31/2012
Inactive	Time Insurance Company	300683	Agent - Health	2/10/2015	11/22/2019
Inactive	Time Insurance Company	300683	Agent - Life	2/10/2015	11/22/2019
Active	United Financial Casualty Company	301886	Agent - Casualty	5/1/2025
Active	United Financial Casualty Company	301886	Agent - Property	5/1/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Clark Insurance Agency LLC	1387472	Agent - Property	3/3/2025
Active	Clark Insurance Agency LLC	1387472	Agent - Casualty	3/3/2025
Active	Clark Insurance Agency LLC	1387472	Agent - Life	3/3/2025
Active	Clark Insurance Agency LLC	1387472	Agent - Health	3/3/2025
Active	Daniel Boone Agency, LLC.	515760	Agent - Property	1/14/2013
Active	Daniel Boone Agency, LLC.	515760	Agent - Casualty	1/14/2013
Active	Daniel Boone Agency, LLC.	515760	Agent - Life	1/14/2013
Active	Daniel Boone Agency, LLC.	515760	Agent - Health	1/14/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	3/30/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	3/30/2013
Active	Gateway Ins Marketing Inc	613567	Agent - Life	1/18/2013
Active	Gateway Ins Marketing Inc	613567	Agent - Health	1/18/2013
Inactive	Medlink Inc	400721	Agent - Life	8/24/2010	10/1/2012
Inactive	Medlink Inc	400721	Agent - Health	8/24/2010	10/1/2012