DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Prevo, Clarence A	DOIID	697911	NAIC NPN	8982892

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/24/2009		2/28/2026
Active	Non Resident	Agent	Property	1/24/2009		2/28/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/10/2018		2/28/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2025	02/28/2026
Surplus Lines Broker	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	5/28/2009
Active	ACE American Insurance Company	300625	Agent - Property	5/28/2009
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	5/28/2009
Active	Bankers Standard Insurance Company	301620	Agent - Property	5/28/2009
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	5/28/2009
Active	Indemnity Insurance Company of North America	301760	Agent - Property	5/28/2009
Active	MAG Mutual Insurance Company	500011	Agent - Casualty	1/29/2009
Active	MAG Mutual Insurance Company	500011	Agent - Property	1/29/2009
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	5/28/2009
Active	Pacific Employers Insurance Company	301753	Agent - Property	5/28/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mag Mutual Ins Agency Llc	704396	Agent - Casualty	2/1/2022
Active	Mag Mutual Ins Agency Llc	704396	Agent - Property	2/1/2022
Active	Mag Mutual Ins Agency Llc	704396	Surplus Lines Broker - Not Applicable	8/27/2018
Active	Magmutual Placement Services, LLC	735275	Agent - Casualty	1/7/2021
Active	Magmutual Placement Services, LLC	735275	Agent - Property	1/7/2021
Active	Magmutual Placement Services, LLC	735275	Surplus Lines Broker - Not Applicable	1/7/2021