DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clack, Connie S	DOIID	952866	NAIC NPN	8440338

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/1/2017		10/31/2025
Active	Non Resident	Agent	Property	5/1/2017		10/31/2025
* 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	Atlantic Specialty Insurance Company	518595	Agent - Casualty	7/20/2017	5/17/2024
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	7/20/2017	5/17/2024
Active	BITCO General Insurance Corporation	301305	Agent - Casualty	11/22/2017
Active	BITCO General Insurance Corporation	301305	Agent - Property	11/22/2017
Active	BITCO National Insurance Company	301366	Agent - Casualty	11/22/2017
Active	BITCO National Insurance Company	301366	Agent - Property	11/22/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Public Entities Of America LLC	703019	Agent - Property	9/8/2017	5/17/2024
Inactive	Public Entities Of America LLC	703019	Agent - Casualty	9/8/2017	5/17/2024
Inactive	Specialty Advantage Insurance Services LLC	554504	Agent - Property	7/20/2017	5/20/2024
Inactive	Specialty Advantage Insurance Services LLC	554504	Agent - Casualty	7/20/2017	5/20/2024