DEPARTMENT OF INSURANCE
Affiliations
NameClark, Stephanie DanielleDOIID924688NAIC NPN18065734
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty8/23/2016 8/31/2025
ActiveResidentAgentLife3/4/2025 8/31/2025
ActiveResidentAgentCasualty9/6/2016 8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent06/15/202508/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBristol West Insurance Company301655Agent - Casualty10/6/2016 
ActiveBristol West Insurance Company301655Agent - Property10/6/2016 
InactiveDairyland Insurance Company301370Agent - Casualty5/16/20174/30/2019
InactiveDairyland Insurance Company301370Agent - Property5/16/20174/30/2019
ActiveErie Family Life Insurance Company301400Agent - Life3/6/2025 
ActiveErie Insurance Company300230Agent - Casualty9/29/2016 
ActiveErie Insurance Company300230Agent - Property9/29/2016 
ActiveErie Insurance Exchange300789Agent - Casualty9/29/2016 
ActiveErie Insurance Exchange300789Agent - Property9/29/2016 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty10/6/2016 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property10/6/2016 
ActiveMilbank Insurance Company925185Agent - Casualty8/1/2019 
ActiveMilbank Insurance Company925185Agent - Property8/1/2019 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty4/25/2019 
ActiveProgressive Casualty Insurance Company300696Agent - Property4/25/2019 
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty7/31/201912/16/2021
InactiveState Automobile Mutual Insurance Company301824Agent - Property7/31/201912/16/2021
ActiveUnited Financial Casualty Company301886Agent - Casualty4/25/2019 
ActiveUnited Financial Casualty Company301886Agent - Property4/25/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDiligent Insurance Group Inc1026364Agent - Casualty7/29/2019 
ActiveDiligent Insurance Group Inc1026364Agent - Property7/29/2019 
InactiveDiligent Insurance Group LLC919427Agent - Casualty2/22/20183/31/2020
InactiveDiligent Insurance Group LLC919427Agent - Property2/22/20183/31/2020

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