DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Joseph C	DOIID	717994	NAIC NPN	2048913

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/13/2009		5/31/2026
Active	Non Resident	Agent	Casualty	8/22/2017		5/31/2026
Active	Non Resident	Agent	Health	11/13/2009		5/31/2026
Active	Non Resident	Agent	Property	8/22/2017		5/31/2026
* 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	03/15/2024	05/31/2024	03/29/2024	03/29/2024	Yes

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	1/31/2020
Active	ACE American Insurance Company	300625	Agent - Property	1/31/2020
Inactive	American National Insurance Company	301861	Agent - Health	10/7/2013	5/26/2021
Inactive	American National Insurance Company	301861	Agent - Life	10/7/2013	9/10/2019
Active	Banner Life Insurance Company	301696	Agent - Life	10/22/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aon Private Risk Management Insurance Agency, Inc.	514711	Agent - Property	2/4/2020	6/4/2024
Inactive	Aon Private Risk Management Insurance Agency, Inc.	514711	Agent - Casualty	2/4/2020	6/4/2024
Inactive	Willis Personal Lines LLC	715217	Agent - Health	12/15/2009	6/22/2017
Inactive	Willis Personal Lines LLC	715217	Agent - Life	12/15/2009	6/22/2017