DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clouse, Deborah Carol	DOIID	997316	NAIC NPN	5933552

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/8/2018		1/31/2026
Active	Non Resident	Agent	Property	6/8/2018		1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	1/22/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/22/2020
Active	Dairyland Insurance Company	301370	Agent - Casualty	6/26/2018
Active	Dairyland Insurance Company	301370	Agent - Property	6/26/2018
Active	Milbank Insurance Company	925185	Agent - Casualty	3/6/2020
Active	Milbank Insurance Company	925185	Agent - Property	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Westan Ins Group	597704	Agent - Property	1/15/2020
Active	Westan Ins Group	597704	Agent - Casualty	1/15/2020