DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Modern Insurance LLC	DOIID	765168	NAIC NPN	14064708

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/20/2011	3/28/2013
Inactive	Non Resident	Agent	Casualty	10/20/2011	3/28/2013
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clark, Glenn Wesley	310699	Agent - Casualty	10/20/2011	3/28/2013
Inactive	Clark, Glenn Wesley	310699	Agent - Property	10/20/2011	3/28/2013
Inactive	Lann, Mark Sheldon	586486	Agent - Casualty	10/20/2011	3/28/2013