DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Andrew Joseph	DOIID	952591	NAIC NPN	17999343

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/26/2017	11/30/2021
Inactive	Non Resident	Agent	Property	4/26/2017	11/30/2021
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	4/26/2017	11/30/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	5/2/2017	4/30/2019
Inactive	Glatfelter Insurance Company	301640	Agent - Property	5/2/2017	4/30/2019
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	8/31/2017	11/30/2021
Inactive	New Hampshire Insurance Company	301670	Agent - Property	8/31/2017	11/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Attune Insurance Services, LLC	878879	Agent - Property	8/21/2017	3/2/2021
Inactive	Attune Insurance Services, LLC	878879	Agent - Casualty	8/21/2017	3/2/2021
Inactive	Attune Insurance Services, LLC	878879	Surplus Lines Broker - Not Applicable	8/21/2017	3/2/2021