DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Lafrance Keoke	DOIID	1116610	NAIC NPN	17715164

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/13/2021	6/30/2024
Inactive	Non Resident	Agent	Personal Lines	12/2/2021	6/30/2024
* 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	Colonial Penn Life Insurance Company	300491	Agent - Life	1/22/2021	6/30/2024
Inactive	Progressive Direct Insurance Company	301379	Agent - Personal Lines	12/14/2021	11/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Financial Services Management LLC	881063	Agent - Personal Lines	6/29/2022	11/14/2022