DEPARTMENT OF INSURANCE

Affiliations

Name	Stanley, Clarissa	DOIID	741108	NAIC NPN	15999583

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	4/30/2013	7/31/2026
Active	Resident	Agent	Health	4/23/2013	7/31/2026
Active	Resident	Agent	Casualty	11/15/2010	7/31/2026
Active	Resident	Agent	Property	11/15/2010	7/31/2026
* 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	05/15/2024	07/31/2024	03/18/2024	03/18/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allstate Indemnity Company	300778	Agent - Casualty	9/13/2021
Active	Allstate Indemnity Company	300778	Agent - Property	9/13/2021
Active	Allstate Insurance Company	300773	Agent - Casualty	9/13/2021
Active	Allstate Insurance Company	300773	Agent - Property	9/13/2021
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	9/13/2021
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	9/13/2021
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	9/13/2021
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	9/13/2021
Active	American Family Home Insurance Company	301817	Agent - Casualty	4/29/2024
Active	American Family Home Insurance Company	301817	Agent - Property	4/29/2024
Active	American Modern Home Insurance Company	300791	Agent - Casualty	3/5/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	3/5/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	1/11/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/9/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/13/2012	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/13/2012	11/14/2021
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	9/6/2013	12/18/2014
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	9/6/2013	12/18/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/13/2012	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/13/2012	11/14/2021
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	12/27/2010	8/14/2014
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	12/27/2010	8/14/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/15/2013	2/29/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/15/2013	2/29/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/22/2015	8/11/2016
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	12/13/2010	3/28/2016
Inactive	Dairyland Insurance Company	301370	Agent - Property	12/13/2010	3/28/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/22/2015	8/11/2016
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Casualty	9/13/2021	3/8/2023
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Property	9/13/2021	3/8/2023
Inactive	Everlake Assurance Company	300203	Agent - Life	4/19/2017	8/9/2019
Inactive	Everlake Life Insurance Company	300873	Agent - Health	2/16/2017	8/9/2019
Inactive	Everlake Life Insurance Company	300873	Agent - Life	2/16/2017	8/9/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/19/2011	2/29/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/19/2011	2/29/2016
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	6/11/2012	9/24/2012
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	6/11/2012	9/24/2012
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/29/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/29/2013	8/11/2016
Inactive	Humana Insurance Company	301104	Agent - Health	5/29/2013	8/11/2016
Inactive	Humana Insurance Company	301104	Agent - Life	5/29/2013	8/11/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/29/2013	8/11/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/29/2013	8/11/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/8/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/8/2014	10/22/2015
Active	Kentucky Home Life Insurance Company	300477	Agent - Health	10/22/2014
Active	Kentucky Home Life Insurance Company	300477	Agent - Life	10/22/2014
Active	Kentucky National Insurance Company	301625	Agent - Casualty	10/20/2014
Active	Kentucky National Insurance Company	301625	Agent - Property	10/20/2014
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	4/28/2011	10/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	4/28/2011	10/23/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ins Today Inc	398622	Agent - Casualty	1/7/2011	9/18/2019
Inactive	Ins Today Inc	398622	Agent - Property	1/7/2011	9/18/2019
Inactive	Ins Today Inc	398622	Agent - Health	5/29/2013	9/18/2019