DEPARTMENT OF INSURANCE

Name	Clark, Glenn Wesley	DOIID	310699	NAIC NPN	2017922

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	11/4/2010		11/30/2024
Active	Non Resident	Agent	Casualty	8/15/2000		11/30/2024
Active	Non Resident	Agent	Health	10/28/2009		11/30/2024
Active	Non Resident	Agent	Property	8/15/2000		11/30/2024
Active	Non Resident	Agent	Life	10/28/2009		11/30/2024
Inactive	Non Resident	Agent	General Lines	3/17/1999	8/15/2000
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/30/2002		11/30/2024

*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
Administrator	09/15/2024	11/30/2024
Agent	09/15/2024	11/30/2024
Surplus Lines Broker	09/15/2024	11/30/2024

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
Business / Home Office	C/O Rockwood Programs Inc 3001 Philadelphia PikeClaymont, DE 197032580
Residence	Not Public Information

Internet Information

Type	Address
Internet	www.rockwoodinsurance.com
Business Email	glenn.clark@rockwoodinsurance.com

Phone Information

Type	Phone
Business / Home Office	(302) 765-6000