DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Kacy Lee	DOIID	1015459	NAIC NPN	8930251

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/22/2020	6/30/2028
Active	Non Resident	Agent	Life	7/3/2025	6/30/2028
Active	Non Resident	Agent	Health	7/3/2025	6/30/2028
Active	Non Resident	Agent	Property	10/22/2020	6/30/2028
* 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	Allstate Indemnity Company	300778	Agent - Casualty	5/4/2021	3/21/2023
Inactive	Allstate Indemnity Company	300778	Agent - Property	5/4/2021	3/21/2023
Inactive	Allstate Insurance Company	300773	Agent - Casualty	5/4/2021	3/21/2023
Inactive	Allstate Insurance Company	300773	Agent - Property	5/4/2021	3/21/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	5/4/2021	3/21/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	5/4/2021	3/21/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	5/4/2021	3/21/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	5/4/2021	3/21/2023
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	6/30/2020
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	6/30/2020
Active	American Family Home Insurance Company	301817	Agent - Casualty	8/10/2026
Active	American Family Home Insurance Company	301817	Agent - Property	8/10/2026
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2021	3/1/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	1/26/2021	3/1/2023
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	7/14/2022	3/1/2023
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	7/14/2022	3/1/2023
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/3/2025	6/17/2026
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/3/2025	6/17/2026
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	1/25/2021	11/29/2022
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	1/25/2021	11/29/2022
Active	Branch Insurance Exchange	1143306	Agent - Casualty	2/10/2026
Active	Branch Insurance Exchange	1143306	Agent - Property	2/10/2026
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/2/2025	3/12/2026
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/2/2025	3/12/2026
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	7/7/2022	5/16/2023
Inactive	Dairyland Insurance Company	301370	Agent - Property	7/7/2022	5/16/2023
Inactive	EMC Property & Casualty Company	955217	Agent - Casualty	4/20/2022	5/11/2023
Inactive	EMC Property & Casualty Company	955217	Agent - Property	4/20/2022	5/11/2023
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	4/20/2022	5/11/2023
Inactive	EMCASCO Insurance Company	842790	Agent - Property	4/20/2022	5/11/2023
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	4/20/2022	5/11/2023
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	4/20/2022	5/11/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	6/11/2024	3/12/2026
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	6/11/2024	3/12/2026
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/3/2025
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/11/2026
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/11/2026
Active	GEICO Marine Insurance Company	590512	Agent - Casualty	11/6/2025
Active	GEICO Marine Insurance Company	590512	Agent - Property	11/6/2025
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/22/2025
Active	Grange Indemnity Insurance Company	300793	Agent - Property	12/22/2025
Active	Grange Insurance Company	300234	Agent - Casualty	12/22/2025
Active	Grange Insurance Company	300234	Agent - Property	12/22/2025
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	12/22/2025
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	12/22/2025
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	7/1/2024
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	7/1/2024
Inactive	Integon Indemnity Corporation	300674	Agent - Casualty	6/10/2022	4/17/2023
Inactive	Integon Indemnity Corporation	300674	Agent - Property	6/10/2022	4/17/2023
Active	Markel American Insurance Company	300377	Agent - Casualty	7/28/2025
Active	Markel American Insurance Company	300377	Agent - Property	7/28/2025
Inactive	National Specialty Insurance Company	300993	Agent - Casualty	6/20/2023	12/18/2025
Inactive	National Specialty Insurance Company	300993	Agent - Property	6/20/2023	12/18/2025
Inactive	Next Insurance US Company	1083825	Agent - Casualty	6/13/2023	4/29/2025
Inactive	Next Insurance US Company	1083825	Agent - Property	6/13/2023	4/29/2025
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	1/12/2021	2/28/2023
Inactive	Ohio Security Insurance Company	300622	Agent - Property	1/12/2021	2/28/2023
Inactive	Plaza Insurance Company	300748	Agent - Casualty	1/11/2022	5/11/2023
Inactive	Plaza Insurance Company	300748	Agent - Property	1/11/2022	5/11/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/4/2021	3/6/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/4/2021	3/6/2023
Active	Root Insurance Company	964834	Agent - Casualty	1/7/2025
Active	Root Insurance Company	964834	Agent - Property	1/7/2025
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	11/16/2018	6/30/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	11/16/2018	6/30/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/16/2021	2/28/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/16/2021	2/28/2023
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	1/25/2021	11/29/2022
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	1/25/2021	11/29/2022
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	6/20/2023	12/18/2025
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	6/20/2023	12/18/2025
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	11/14/2018	12/9/2019
Inactive	The Phoenix Insurance Company	301502	Agent - Property	11/14/2018	12/9/2019
Active	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	7/15/2025
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	1/25/2021	11/29/2022
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	1/25/2021	11/29/2022
Inactive	Travelers Personal Insurance Company	705785	Agent - Casualty	11/14/2018	6/30/2020
Inactive	Travelers Personal Insurance Company	705785	Agent - Property	11/14/2018	6/30/2020
Active	Trustgard Insurance Company	300104	Agent - Casualty	12/22/2025
Active	Trustgard Insurance Company	300104	Agent - Property	12/22/2025
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	4/20/2022	5/11/2023
Inactive	Union Insurance Company of Providence	842791	Agent - Property	4/20/2022	5/11/2023
Inactive	United Financial Casualty Company	301886	Agent - Casualty	3/4/2021	3/6/2023
Inactive	United Financial Casualty Company	301886	Agent - Property	3/4/2021	3/6/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Clark Insurance Agency, LLC	1369710	Agent - Property	10/29/2024
Active	Clark Insurance Agency, LLC	1369710	Agent - Casualty	10/29/2024
Inactive	Ohio Insurance Alliance Group LLC	972523	Agent - Property	6/23/2021	5/5/2023
Inactive	Ohio Insurance Alliance Group LLC	972523	Agent - Casualty	6/23/2021	5/5/2023