DEPARTMENT OF INSURANCE

Name	Clark, Joshua Edward	DOIID	1010470	NAIC NPN	18426317

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/19/2018	11/30/2025
Active	Non Resident	Agent	Health	2/25/2021	11/30/2025
Active	Non Resident	Agent	Casualty	2/25/2021	11/30/2025
Active	Non Resident	Agent	Property	2/25/2021	11/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/6/2023	11/30/2025

*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	09/15/2025	11/30/2025
Surplus Lines Broker	09/15/2025	11/30/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	1555 Broadway St Fl 3 Detroit, MI 482262160

Internet Information

Type	Address
Business Email	josh@covertree.com

Phone Information

Type	Phone
Business / Home Office	(877) 417-8733